Active NPI
Caitlyn Snyder, LPC-IT, SAC-IT
- Mental Health Counselor
- La Crosse, WI
National Provider Identifier
1740900869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11035-125
- Practice address
- 115 5TH Ave S
La Crosse, WI 54601-9200 - Phone
- (262) 229-9250
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19576-130 | WI | |
| Mental Health Counselor | 101YM0800X | 11035-125 | WI | Primary |
Addresses
Primary practice location
115 5TH Ave S
La Crosse, WI 54601-9200
Mailing address
717 10TH St N
La Crosse, WI 54601-3463
Phone (507) 460-8014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19576-130 | Other | WI | STATE OF WISCONSIN SAC-IT LICENSE |
| 11035-125 | Other | WI | LICENSED PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csnyder@pomcounselingllc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19576-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 11035-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- La Crosse, WI
- NPI 1861837692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1740900869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 10TH ST N",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013463",
"telephone_number": "507-460-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 5TH AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546019200",
"telephone_number": "262-229-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "CAITLYN",
"credential": "LPC-IT, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19576-130",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "11035-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN SAC-IT LICENSE",
"identifier": "19576-130",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "11035-125",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csnyder@pomcounselingllc.com",
"affiliation": "N",
"address_1": "115 5th Ave S",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546019200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.