Individual provider Active NPI

Theresa Snyder, LPC

  • Professional Counselor
  • Williamsport, PA
National Provider Identifier
1760149694
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013898 Issued in PA
Practice address
1521 Washington Blvd
Williamsport, PA 17701-5426
Phone
(570) 322-5051
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013898 PA Primary

Addresses

Primary practice location

1521 Washington Blvd
Williamsport, PA 17701-5426

Mailing address

690 Dunkleberger Rd
Williamsport, PA 17701-9266
Phone (570) 220-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240201001809 PA Practitioner - Mental Health Counselor 1355794710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Services Group Inc 32 clinicians
Liberty Med Associates LLC 11 clinicians

Practice addresses (Care Compare)

1000 Commerce Park Dr
Suite 110
Williamsport, PA 17701-5475
Phone (570) 323-6944

33 W 3Rd St
FL 2
Williamsport, PA 17701-6523
Phone (570) 429-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013898PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lcdocs LLC CurrentSince Jun 18, 2024 Accepting new patients
Community Services Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Liberty Med Associates LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

7930 Nittany Valley Dr
Mill Hall, PA 17751
Phone (570) 323-6944

33 W 3rd St
Fl 2
Williamsport, PA 17701
Phone (570) 429-3501

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1760149694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 DUNKLEBERGER RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177019266",
            "telephone_number": "570-220-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015426",
            "telephone_number": "570-322-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "THERESA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.