Active NPI
Clarajean Snyder
- Counselor
- Port Saint Lucie, FL
National Provider Identifier
1992295463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMT2328
- Practice address
- 525 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1605 - Phone
- (772) 529-3267
- Fax
- (772) 337-8165
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMT2328 | FL | Primary |
Addresses
Primary practice location
525 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1605
Mailing address
525 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1605
Phone (772) 529-3267
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 |
|---|---|---|---|
| IMT2328 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1992295463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 NW LAKE WHITNEY PL STE 103",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349861605",
"telephone_number": "772-529-3267",
"fax_number": "772-337-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NW LAKE WHITNEY PL STE 103",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349861605",
"telephone_number": "772-529-3267",
"fax_number": "772-337-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "CLARAJEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "IMT2328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.