Individual provider Active NPI

Rachael M Snyder

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1942708318
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015007 Issued in MI
Practice address
1200 N West Ave Ste 300
Jackson, MI 49202
Phone
(517) 789-1234
NPI assigned
Jan 31, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015007 MI Primary

Addresses

Primary practice location

1200 N West Ave Ste 300
Jackson, MI 49202

Mailing address

303 W Main St
Spring Arbor, MI 49283-9515
Phone (517) 740-8440

Other practice location 1

1200 N West Ave Ste 400
Jackson, MI 49202-2180
Phone (517) 780-3336

Other practice location 2

1200 N West Ave Ste 400
Jackson, MI 49202-2180
Phone (517) 780-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251028001998 MI Practitioner - Mental Health Counselor 8123517430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 N W Ave
Jackson, MI 49202-2179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015007MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Sep 1, 2025 Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Sep 1, 2025 Accepting new patients

Locations

25 Care Dr
Hillsdale, MI 49242
Phone (517) 439-2641

1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200

1200 N West Ave
Ste 300
Jackson, MI 49202
Phone (517) 789-1234

1200 N West Ave
Ste 400
Jackson, MI 49202
Phone (517) 780-3336

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1942708318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839515",
            "telephone_number": "517-740-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49202",
            "telephone_number": "517-789-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N West Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492022180",
            "country_code": "US",
            "telephone_number": "517-780-3336",
            "fax_number": "571-796-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N West Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492022180",
            "country_code": "US",
            "telephone_number": "517-780-3336",
            "fax_number": "571-796-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "RACHAEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.