The Clinic for Mental Health & Wellness

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC#1027 Issued in WY

Legal business name

THE CLINIC FOR MENTAL HEALTH & WELLNESS

Practice address

504 S 4TH St
Laramie, WY 82070-3704

Phone

(307) 755-1000

Fax

(307) 742-9717

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Martha Nesslnger, MA, LPC

Title

Licensed Professional Counselor

Phone

(307) 755-1000

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1093005803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000",
            "fax_number": "307-742-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000",
            "fax_number": "307-742-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC FOR MENTAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "NESSLNGER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "307-755-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC#1027",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC#290",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT#265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW#176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Lynn Teply
• Teresa Jacobs-Castano PC
• Kelli Terrell
• Tessa Matzen, LCSW LLC
• Lauren Elizabeth Thacker-Lynn, PHARMD
• The Clinic for Mental Health and Wellness
• Patricia Thobro, LPC
• Donovan Thomalla
• Martin Thoman
• Thomas P Goodell MD PC

• Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.