Individual provider Active NPI

David Jay Snow, MS, LMHC, NCC

  • Mental Health Counselor
  • Oswego, NY
National Provider Identifier
1861813081
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008800 Issued in NY
Practice address
112 E Bridge St
Oswego, NY 13126
Phone
(315) 216-6399
Fax
(315) 800-5149
NPI assigned
Dec 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008800 NY Primary

Addresses

Primary practice location

112 E Bridge St
Oswego, NY 13126

Mailing address

112 E Bridge St
Oswego, NY 13126
Phone (315) 216-6399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240206003759 NY Practitioner - Mental Health Counselor 8426491481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3300 James St
Suite 100
Syracuse, NY 13206-2392
Phone (315) 422-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008800NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services of New York PC CurrentSince May 4, 2024 Accepting new patients
Psychiatry Services of New York, P.C. CurrentSince May 4, 2024 Accepting new patients
Psychological Healthcare, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Family Counseling Services of Cortland County, Inc. Counselor PastSince Feb 2, 2014 Accepting new patients

Locations

242 Washington Blvd
Sarasota, FL 34236
Phone (941) 266-0088

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

890 7th North St
Ste 100
Liverpool, NY 13088

890 7th North St
Ste 200
Liverpool, NY 13088
Phone (315) 200-1056

3300 James St
Ste 100
Syracuse, NY 13206

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4

Organizations & group practices 4

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": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1861813081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-216-6399",
            "fax_number": "315-800-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-216-6399",
            "fax_number": "315-800-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.