Active NPI
Jenna Dara Snyder, LPCA
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1831697333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A13655
- Practice address
- 301 E Washington St Ste 101
Greensboro, NC 27401-2993 - Phone
- (336) 333-6860
- Fax
- (336) 275-1187
- NPI assigned
- Jan 30, 2018
- 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 | A13655 | NC | Primary |
Addresses
Primary practice location
301 E Washington St Ste 101
Greensboro, NC 27401-2993
Mailing address
301 E Washington St Ste 101
Greensboro, NC 27401-2993
Phone (336) 333-6860
Other practice location 1
842 E Pritchard St
Asheboro, NC 27203-4800
Phone (336) 633-7257
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 |
|---|---|---|---|
| A13655 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Counseling & Wellness, PLLC | Current | Accepting new patients | |
| Alcohol and Drug Services of Guilford, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1700534484
-
- Community/Behavioral Health Agency
- Asheboro, NC
- NPI 1447388426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831697333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E WASHINGTON ST STE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012993",
"telephone_number": "336-333-6860",
"fax_number": "336-275-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WASHINGTON ST STE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012993",
"telephone_number": "336-333-6860",
"fax_number": "336-275-1187"
}
],
"practiceLocations": [
{
"address_1": "842 E Pritchard St",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272034800",
"country_code": "US",
"telephone_number": "336-633-7257",
"fax_number": "336-633-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "JENNA",
"middle_name": "DARA",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.