Active NPI
Donald Joel Snell Jr., LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1780224634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13336
- Practice address
- 505 N Park Ave Ste 212
Winter Park, FL 32789-3268 - Phone
- (407) 539-0047
- Fax
- (407) 539-0048
- NPI assigned
- Jan 8, 2020
- Last updated
- Jan 8, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH13336 | FL | Primary |
Addresses
Primary practice location
505 N Park Ave Ste 212
Winter Park, FL 32789-3268
Mailing address
505 N Park Ave Ste 212
Winter Park, FL 32789-3268
Phone (407) 539-0047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH13336 | Other | FL | STATE OF FLORIDA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dj.snell@graceclinic.org | Direct |
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 |
|---|---|---|---|
| MH13336 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1780224634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N PARK AVE STE 212",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893268",
"telephone_number": "407-539-0047",
"fax_number": "407-539-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N PARK AVE STE 212",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893268",
"telephone_number": "407-539-0047",
"fax_number": "407-539-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNELL",
"first_name": "DONALD",
"middle_name": "JOEL",
"name_suffix": "Jr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA",
"identifier": "MH13336",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dj.snell@graceclinic.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct message between client and counselor",
"address_1": "505 N Park Ave Ste 212",
"city": "Winter Park",
"state": "FL",
"country_code": "US",
"postal_code": "327893268",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.