Kallie Ducharme

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CMHW-077 Issued in WY

Practice address

949 Center St
Evanston, WY 82930-3430

Phone

(307) 444-7803

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kallie Spackman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pioneer Counseling Services

  • Mental Illness Community Based Residential Treatment Facility
  • Evanston, WY
  • NPI 1033954474
  NPD
• Pioneer Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evanston, WY
  • NPI 1093792095
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1023820941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR STE 206",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305326",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CENTER ST",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303430",
            "telephone_number": "307-444-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "KALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "CMHW-077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALLIE",
            "last_name": "SPACKMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dee Dillree, D.C.
• Zane Blazzard Dillree, DC
• Ronald Janeiro Dolan, PMFT
• Greg Merrill Dover, D.D.S.
• Draper Dermatology, P.C.
• Kerian S. Duncan, PT, DPT
• Christopher Dunham
• Jennifer Dunning
• Nicole Lynn Dyer, M.D.
• Ear, Nose & Throat Center of Wyoming, LLC

• Counselor in Evanston, WY
• Providers in Evanston, WY by specialty
• Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.