Individual provider Active NPI

Jill Colleen Shire, M.A.

  • Counselor
  • Casper, WY
National Provider Identifier
1073822508
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC 276 Issued in WY
Practice address
130 N Ash St
Suite 201
Casper, WY 82601-1821
Phone
(307) 277-7802
Fax
(877) 623-7006
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC 276 WY Primary

Addresses

Primary practice location

130 N Ash St
Suite 201
Casper, WY 82601-1821

Mailing address

130 N Ash St
Suite 201
Casper, WY 82601-1821
Phone (307) 277-7802

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 276WYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1073822508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N ASH ST",
            "address_2": "SUITE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011821",
            "telephone_number": "307-277-7802",
            "fax_number": "877-623-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N ASH ST",
            "address_2": "SUITE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011821",
            "telephone_number": "307-277-7802",
            "fax_number": "877-623-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRE",
        "first_name": "JILL",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC 276",
            "primary": true
        }
    ],
    "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 Apr 3, 2017; 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.