Individual provider Active NPI

Lindsay Nicole Stoffers, MS, PPC

  • Counselor
  • Laramie, WY
National Provider Identifier
1104238633
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
836 Issued in WY
Practice address
217 E Grand Ave Unit 2
Laramie, WY 82070-3604
Phone
(307) 399-0788
Fax
(307) 638-0394
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 836 WY Primary

Addresses

Primary practice location

217 E Grand Ave Unit 2
Laramie, WY 82070-3604

Mailing address

611 E Harney St
Laramie, WY 82072-2644
Phone (307) 399-0788

Other practice location 1

1465 N 4th St Ste 119
Laramie, WY 82072-2066
Phone (307) 721-0700

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
I20240612001195 WY Practitioner - Mental Health Counselor 5092257568 Receives reassigned benefits from 2 practitioners
Practice locations: Laramie, WY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 E Grand Ave
Unit 2
Laramie, WY 82070-3604
Phone (307) 399-0788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
836WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moonstone Wellness LLC Counselor CurrentSince Jun 6, 2021 Accepting new patients
Aktos Analytics, LLC Past Accepting new patients

Locations

217 E Grand Ave
Unit 2
Laramie, WY 82070
Phone (307) 223-6110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1104238633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E HARNEY ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722644",
            "telephone_number": "307-399-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E GRAND AVE UNIT 2",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703604",
            "telephone_number": "307-399-0788",
            "fax_number": "307-638-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 N 4th St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820722066",
            "country_code": "US",
            "telephone_number": "307-721-0700",
            "fax_number": "307-721-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOFFERS",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MS, PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.