Individual provider Active NPI

Thomas James Snyder, LCAS #1458

  • Addiction (Substance Use Disorder) Counselor
  • Forest City, NC
National Provider Identifier
1891926010
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS #1458 Issued in NC
Practice address
348 Bronze Cir
Forest City, NC 28043-5640
Phone
(828) 247-0074
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS #1458 NC Primary

Addresses

Primary practice location

348 Bronze Cir
Forest City, NC 28043-5640

Mailing address

348 Bronze Cir
Forest City, NC 28043-5640
Phone (828) 247-0074

Other identifiers 1

IdentifierTypeStateIssuer
6112173MedicaidNC

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

LicenseStateTypeSpecialty
LCAS #1458NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1891926010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 BRONZE CIR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435640",
            "telephone_number": "828-247-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 BRONZE CIR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435640",
            "telephone_number": "828-247-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "LCAS #1458",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS #1458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.