Active NPI
Taylor Elizabeth Snider, LPC
- Professional Counselor
- Waco, TX
National Provider Identifier
1770220451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91703
- Practice address
- 4209 W Waco Dr
Waco, TX 76710-7111 - Phone
- (254) 400-2360
- NPI assigned
- May 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 91703 | TX | Primary |
Addresses
Primary practice location
4209 W Waco Dr
Waco, TX 76710-7111
Mailing address
4209 W Waco Dr
Waco, TX 76710-7111
Phone (254) 400-2360
Other names 1
- Taylor Elizabeth Dimery
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 |
|---|---|---|---|
| 10756 | OK | MD | Professional Counselor |
| 91703 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compleo Physical Therapy & Wellness LLC | Professional | Current | Accepting new patients |
Locations
6704 Woodway Dr
Woodway, TX 76712
Phone (254) 366-3662
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1770220451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 W WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107111",
"telephone_number": "254-400-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 W WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107111",
"telephone_number": "254-400-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "TAYLOR",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "91703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "DIMERY",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.