Brandon Clark Wardell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2068 Issued in WY

Practice address

940 E 3Rd St Ste 105
Casper, WY 82601-3200

Phone

(405) 412-5468

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Park Ridge Behavioral Healthcare LLCGroup PAC ID 6800281254, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Park Ridge Behavioral Healthcare, LLC

  • Clinical Psychologist
  • Casper, WY
  • NPI 1851624662
  Medicare reassignment Care Compare group NPD Authorized official
• Rocky Mountain Behavioral Healthcare, LLC

  • Professional Counselor
  • Casper, WY
  • NPI 1386915528
  Medicare reassignment NPD Authorized official
• Hot Springs County Hospital District

  • Critical Access Hospital
  • Thermopolis, WY
  • NPI 1861550642
  Medicare reassignment NPD
• Wardell Consulting Group, LLC

  • Professional Counselor
  • Casper, WY
  • NPI 1720346778
  NPD Authorized official
• Hot Springs County Hospital District

  • Orthopaedic Surgery Physician
  • Thermopolis, WY
  • NPI 1639755580
  NPD
• Hot Springs County Hospital District

  • Rural Health Clinic/Center
  • Riverton, WY
  • NPI 1841814084
  NPD

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1063673069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THELMA DR # 226",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092325",
            "telephone_number": "405-412-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 105",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "405-412-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDELL",
        "first_name": "BRANDON",
        "middle_name": "CLARK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Ward
• Kari Ann Ward, SLP
• Kristina Ward, OTA
• Vonda Ward, RN
• Wardell Consulting Group, LLC
• Andrew J Waring, DDS
• Jessi L Waring, DDS
• Erienne Warner, RN
• Trevor Patrick Warren, PCSW-1031
• Wayne Lee Warren Jr., MD

• Professional Counselor in Casper, WY
• Providers in Casper, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.