Active NPI
Melissa Ginest, LCPC
- Professional Counselor
- Powell, WY
National Provider Identifier
1003276734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1782
- Practice address
- 130 N Bent St Ste B
Powell, WY 82435-2742 - Phone
- (077) 644-1073
- Fax
- (307) 764-1879
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PPC 993 | WY | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 1782 | WY | Primary |
Addresses
Primary practice location
130 N Bent St Ste B
Powell, WY 82435-2742
Mailing address
130 N Bent St Ste B
Powell, WY 82435-2742
Phone (307) 764-4107
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 |
|---|---|---|---|
| PPC 993 | WY | MD | Mental Health Counselor |
| 1782 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons of Change Counseling LLC | Professional | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11747/brand/1/csg/1/fhir/r4
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": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1003276734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N BENT ST STE B",
"city": "POWELL",
"state": "WY",
"postal_code": "824352742",
"telephone_number": "307-764-4107",
"fax_number": "307-764-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N BENT ST STE B",
"city": "POWELL",
"state": "WY",
"postal_code": "824352742",
"telephone_number": "077-644-1073",
"fax_number": "307-764-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINEST",
"first_name": "MELISSA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "PPC 993",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "1782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.