Individual provider Active NPI

Robin Camille Jordan-Snider, MS

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1992975734
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 2203 Issued in FL
Practice address
1300 N Palafox St
Suite 103
Pensacola, FL 32501-2664
Phone
(850) 266-2700
Fax
(850) 595-0180
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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 IMH 2203 FL Primary

Addresses

Primary practice location

1300 N Palafox St
Suite 103
Pensacola, FL 32501-2664

Mailing address

1300 N Palafox St
Suite 103
Pensacola, FL 32501-2664
Phone (850) 266-2700

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH 2203FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kugelman Counseling Center Past Accepting new patients

Organizations & group practices 1

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1992975734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N PALAFOX ST",
            "address_2": "SUITE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012664",
            "telephone_number": "850-266-2700",
            "fax_number": "850-595-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N PALAFOX ST",
            "address_2": "SUITE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012664",
            "telephone_number": "850-266-2700",
            "fax_number": "850-595-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-SNIDER",
        "first_name": "ROBIN",
        "middle_name": "CAMILLE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 2203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.