Active NPI
Susan Kay Augustine, PH.D
- Professional Counselor
- Laramie, WY
National Provider Identifier
1033317151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 583
- Practice address
- 1277 N 15TH St
Laramie, WY 82072 - Phone
- (307) 742-6222
- Fax
- (307) 742-9905
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-583 | WY | |
| Professional Counselor | 101YP2500X | 583 | WY | Primary |
Addresses
Primary practice location
1277 N 15TH St
Laramie, WY 82072
Mailing address
PO Box 1304
Laramie, WY 82073
Phone (307) 742-6222
Other names 1
- Susan K Porter
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-583 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pendley and Associates, Inc | Professional | Past | Accepting new patients |
| Pendley & Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Laramie, WY
- NPI 1285730788
-
- Professional Counselor
- Laramie, WY
- NPI 1750626123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1033317151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1304",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82073",
"telephone_number": "307-742-6222",
"fax_number": "307-742-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 N 15TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82072",
"telephone_number": "307-742-6222",
"fax_number": "307-742-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-583",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "PORTER",
"middle_name": "K",
"credential": "PHD.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.