Roland Dale Snider, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60773953 Issued in WA

Practice address

2330 Eastgate St Ste 207
Walla Walla, WA 99362-1559

Phone

(509) 876-4009

Fax

(509) 946-1430

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Emmaus CenterGroup PAC ID 2961645064, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• The Emmaus Center

  • Mental Health Counselor
  • Richland, WA
  • NPI 1891898953
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1831613686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543360",
            "telephone_number": "509-946-1430",
            "fax_number": "509-946-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 EASTGATE ST STE 207",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621559",
            "telephone_number": "509-876-4009",
            "fax_number": "509-946-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Stevens Dr",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993543360",
            "country_code": "US",
            "telephone_number": "509-946-1430",
            "fax_number": "509-946-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ROLAND",
        "middle_name": "DALE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60773953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Pazderka Smith, MD
• Jennifer E Smith, A.R.N.P.
• Matthew Smith, PTA
• S. Scott Smith I, OD
• Lisa Smyth, LICSW
• Viktoria Viktorovna Sokolova, OD
• Nancy Solis Avelar
• Diane Somerville
• Soothing Rivers LLC
• Abby Bettilyon Sorensen, FNP

• Mental Health Counselor in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.