Individual provider Active NPI

Norman Robertson

  • Professional Counselor
  • Sheridan, WY
National Provider Identifier
1033657432
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC617 Issued in WY
Practice address
3322 Strahan Pkwy
Sheridan, WY 82801-9162
Phone
(307) 672-2044
Fax
(307) 674-6867
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC617 WY Primary

Addresses

Primary practice location

3322 Strahan Pkwy
Sheridan, WY 82801-9162

Mailing address

3322 Strahan Pkwy
Sheridan, WY 82801-9162
Phone (307) 672-2044

Other names 1

  • Mark Robertson Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240118000648 WY Practitioner - Mental Health Counselor 8921450693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC617WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Northern Rockies CurrentSince Jan 7, 2026 Accepting new patients

Locations

510 W 29th St
Cheyenne, WY 82001
Phone (307) 426-4728

3322 Strahan Pkwy
Sheridan, WY 82801
Phone (307) 638-8182

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.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1033657432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162",
            "telephone_number": "307-672-2044",
            "fax_number": "307-674-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162",
            "telephone_number": "307-672-2044",
            "fax_number": "307-674-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "NORMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "ROBERTSON",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.