Individual provider Active NPI

Jenny Elizabeth Berchenbriter

  • Mental Health Counselor
  • Laramie, WY
National Provider Identifier
1093485674
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PPC-1268 Issued in WY
Practice address
121 E Grand Ave Ste 216
Laramie, WY 82070-3600
Phone
(307) 200-9421
NPI assigned
Sep 15, 2021
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PPC-1268 WY Primary

Addresses

Primary practice location

121 E Grand Ave Ste 216
Laramie, WY 82070-3600

Mailing address

121 E Grand Ave Ste 216
Laramie, WY 82070-3600
Phone (307) 200-9421

Other identifiers 1

IdentifierTypeStateIssuer
PPC-1268OtherWYI DON'T HAVE ONE. WHY IS THIS FIELD REQUIRED

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenny@abetterwaycounselingconsulting.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241112003222 WY Practitioner - Mental Health Counselor 3779017876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPC-1268WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Overcomer Counseling LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

265 N 4th St
Laramie, WY 82072
Phone (307) 399-0791

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093485674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 216",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-200-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 216",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-200-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHENBRITER",
        "first_name": "JENNY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-1268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DON'T HAVE ONE.  WHY IS THIS FIELD REQUIRED",
            "identifier": "PPC-1268",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenny@abetterwaycounselingconsulting.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication with providers",
            "address_1": "121 E Grand Ave Ste 216",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820703600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.