Timothy Warren, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1317 Issued in WY

Practice address

801 Robertson Ave
Worland, WY 82401-2717

Phone

(402) 707-7924

Fax

(402) 707-7924

NPI assigned

Jun 7, 2011

Last updated

Dec 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innerpeace Counseling

  • Professional Counselor
  • Worland, WY
  • NPI 1043632920
  NPD

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1073807038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CHARLES AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014117",
            "telephone_number": "402-707-7924",
            "fax_number": "402-707-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROBERTSON AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012717",
            "telephone_number": "402-707-7924",
            "fax_number": "402-707-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TIMOTHY",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-592",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352907",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352908",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dowie J. Vanderwerff, CRNA
• Natasha Vega
• Kristi Lynn Vigil, LPC-1905
• Ronald Steven Wake
• Danielle Warren
• Washakie County Senior Citizens Center (Worland Senior Citizens Center)
• Washakie Family Planning
• Washakie Medical Center
• Washakie Medical Center
• Washakie Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.