Active NPI
Todd Bader, MA,LPC
- Counselor
- Evanston, WY
National Provider Identifier
1083941389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-519
- Practice address
- 724 Front St
Suite 511
Evanston, WY 82931 - Phone
- (307) 799-8640
- Fax
- (307) 789-2866
- NPI assigned
- Nov 6, 2009
- Last updated
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-519 | WY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 512 | WY | |
| Professional Counselor | 101YP2500X | 512 | WY |
Addresses
Primary practice location
724 Front St
Suite 511
Evanston, WY 82931
Mailing address
PO Box 492
Evanston, WY 82931-0492
Phone (307) 799-8640
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-519 | WY | MD | Counselor |
| 512 | WY | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1083941389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829310492",
"telephone_number": "307-799-8640",
"fax_number": "307-789-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 FRONT ST",
"address_2": "SUITE 511",
"city": "EVANSTON",
"state": "WY",
"postal_code": "82931",
"telephone_number": "307-799-8640",
"fax_number": "307-789-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADER",
"first_name": "TODD",
"credential": "MA,LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LPC-519",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "512",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
- Danielle Asay
- William F Atkinson, O.D.
- Auralcare Hearing Centers of America, LLC (My Hearing Centers)
- Auralcare Hearing Centers of America, LLC (My Hearing Centers)
- Tamara Sue Bach, FNP-BC
- Robin Regina Ballina, M.D.
- Barker Family Health, LLC
- Stacy Barker
- Paul Robert Barnard, O.D.
- Amanda M Barnes, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.