Individual provider Active NPI

Thomas R. Connor, MA LPC WY#579

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1124265939
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-579 Issued in WY
Practice address
940 E 3Rd St Ste 104
Casper, WY 82601-3200
Phone
(307) 462-4876
Fax
(307) 337-3492
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WY#579 WY
Professional Counselor 101YP2500X LPC-579 WY Primary

Addresses

Primary practice location

940 E 3Rd St Ste 104
Casper, WY 82601-3200

Mailing address

940 E 3Rd St Ste 104
Casper, WY 82601-3200
Phone (307) 462-4876

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

State licenses

LicenseStateTypeSpecialty
WY#579WYMDCounselor
LPC-579WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Behavioral Healthcare, LLC Professional Past Accepting new patients
Park Ridge Behavioral Healthcare, LLC Past Accepting new patients
Wardell Consulting Group, LLC Professional PastSince Dec 29, 2024 Accepting new patients

Organizations & group practices 3

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1124265939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MA LPC WY#579",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "WY#579",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.