Alphonse Eid
Individual provider Active NPI Mental Health Counselor · Gillette, WY
NPI 1104793165 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1104793165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PPC-1603 (WY)
- Practice address
- 107 E 1St St
Gillette, WY 82716-3801 - Phone
- (307) 381-8351
- NPI assigned
- Oct 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1603 | WY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The DBT Center of Wyoming LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PPC-1603 | WY | Yes |
Addresses
Primary practice location
107 E 1St St
Gillette, WY 82716-3801
Mailing address
107 E 1St St
Gillette, WY 82716-3801
Phone (307) 381-8351
Other providers in Gillette, WY
- Suzanne Marie Eastman
- Rebecca Jo Eden
- Rebecca Edwards
- Suzan Tamesha Edwards
- William Pell Egbert
- Ekstroms Nursing, LLC
- Elevation Medical Imaging Gillette
- Employment Testing Services
- Deborah A Engel
- Nita R. Engineer
All providers in Gillette, WY · Mental Health Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.