Active NPI
Theresa Snyder, LPC
- Professional Counselor
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013898
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncLiberty Med Associates LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC013898 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lcdocs LLC | Current | Accepting new patients | |
| Community Services Group, Inc. | Current | Accepting new patients | |
| Liberty Med Associates LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.