Individual provider Active NPI

Julie Danielle Snow, M.S. LADC

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1750573358
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
988 Issued in OK
Practice address
5319 S Lewis Ave
Tulsa, OK 74105-6500
Phone
(918) 832-7763
Fax
(918) 292-8250
NPI assigned
Aug 16, 2007
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 988 OK Primary

Addresses

Primary practice location

5319 S Lewis Ave
Tulsa, OK 74105-6500

Mailing address

5319 S Lewis Ave
Tulsa, OK 74105-6500
Phone (918) 832-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529004395 TX Practitioner - Mental Health Counselor 7911477948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

148 W Jefferson PL
Broken Arrow, OK 74011-5058

9820 E 41St St
Suite 301
Tulsa, OK 74146-3605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
988OKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Continuum of Care Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1750573358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056500",
            "telephone_number": "918-832-7763",
            "fax_number": "918-292-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056500",
            "telephone_number": "918-832-7763",
            "fax_number": "918-292-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "JULIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S. LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.