Organization Active NPI

Living Well Counseling LLC

  • Counselor
  • Casper, WY
National Provider Identifier
1033484118
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC817 Issued in WY
Legal business name
LIVING WELL COUNSELING LLC
Practice address
1301 S Wisconsin Ave.
Casper, WY 82609-2936
Phone
(307) 472-5433
Fax
(307) 337-3705
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Mrs. Corey Wentz, MS LPC LATNPI 1528394772
Title
Counselor
Phone
(307) 235-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC817 WY Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LAT286 WY

Addresses

Primary practice location

1301 S Wisconsin Ave.
Casper, WY 82609-2936

Mailing address

PO Box 552
Casper, WY 82602-0552
Phone (307) 797-4683

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1033484118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826020552",
            "telephone_number": "307-797-4683",
            "fax_number": "307-337-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S WISCONSIN AVE.",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092936",
            "telephone_number": "307-472-5433",
            "fax_number": "307-337-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "307-235-3333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LPC LAT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC817",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.