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Sonny Snyder , QMHP-R

Counselor - Professional β€’ Gresham, OR

Active NPI 1013771344 Individual Practitioner Male Practitioner
Practice location in NPPES

1700 Nw Civic Dr
Gresham, OR 970303770

Call 5036668832 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1700 Nw Civic Dr

Gresham, OR 970303770

Telephone 5036668832
Organization at the Same NPPES Address or Phone
Western Psychological And Counseling Services Pc Facility NPI 1497179212

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

35 active clinicians are listed under Counselor - Professional with a practice address in Gresham, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

2.9% of these 35 clinicians have the CMS telehealth indicator.

11.4% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR 24-QMHP-R-2997
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. James Bossmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1255867065

Doctor of Medicine (M.D.)

Myron Falkner , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1598196198

Psychiatric-Mental Health Nurse Practitioner

NPI 1063761716

Doctor of Psychology (Psy.D.)

Jessica Wilkerson , APRN-NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376796987

APRNNP

Dr. Peter Wilson , PsyD

Psychologist - Clinical

NPI 1992897490

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated August 08, 2024

Recorded as SONNY SNYDER, QMHP-R

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Counselor (license number reported to NPPES: OR 24-QMHP-R-2997)

βœ…
NPI Profile Active February 07, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2024

Registered at 1700 NW CIVIC DR, GRESHAM, OR 970303770 (Tel: 5036668832)

πŸ“
Business Mailing Address (Initial Record) February 07, 2024

Registered at 2017 SW 2ND CT, GRESHAM, OR 970806760 (Tel: 5038362360)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2024

Recorded as SONNY SNYDER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2024

Counselor

🟒
Initial NPI Registration & Enumeration February 07, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013771344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2024
Last Update: August 08, 2024
Sole Proprietor: Yes

Mailing Address

2017 Sw 2nd Ct

Gresham, OR 970806760

Phone: 5038362360

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.