Leann M. Dzemske, M. SC., LPC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-2182 Issued in WY

Practice address

690 S Hwy 89 # 201
Jackson, WY 83001-8508

Phone

(307) 231-2001

Fax

(307) 288-6056

NPI assigned

Oct 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Mental Health Counselor

Education

Eastern Virginia Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lupine Mental Health and Integrative Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, WY
  • NPI 1871103127
  NPD (past)
• TBT, LLC

  • Community/Behavioral Health Agency
  • Jackson, WY
  • NPI 1407230766
  NPD (past)
• Teton Behavior Therapy

  • Clinical Social Worker
  • Jackson, WY
  • NPI 1336072206
  NPD (past)

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1013517689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11625",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021625",
            "telephone_number": "307-231-2001",
            "fax_number": "307-288-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S HWY 89 # 201",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018508",
            "telephone_number": "307-231-2001",
            "fax_number": "307-288-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZEMSKE",
        "first_name": "LEANN",
        "middle_name": "M.",
        "credential": "M. SC., LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-9991",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Riley PC
• Daniel Draper, PHARMD
• Patricia Drui, SLP
• Jacob Louis Durham, PTA
• John Dudley Duross, PA-C
• Molly Katherine Eagar, RN
• East Jackson Mental Health
• Jessica B Eastman, MS, OTR/L
• Anna Sigrid Eide, RD
• Elk Ridge Dental

• Mental Health Counselor in Jackson, WY
• Providers in Jackson, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.