Susan Shipp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PPC-1144 Issued in WY

Practice address

265 N 4TH St
Laramie, WY 82072-3131

Phone

(307) 223-1893

NPI assigned

Nov 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Overcomer Counseling LLCGroup PAC ID 7517317688, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Overcomer Counseling LLC

  • Professional Counselor
  • Laramie, WY
  • NPI 1023741766
  Medicare reassignment Care Compare group NPD
• Pathway, Inc.

  • Mental Health Counselor
  • Laramie, WY
  • NPI 1588765069
  NPD (past)

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1124662135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 RIVERSIDE DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820706618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723131",
            "telephone_number": "307-223-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 N 4th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820722091",
            "country_code": "US",
            "telephone_number": "307-721-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Sherwood
• Debra Inez Shevick, DDS
• Michael Shields
• Katherine Shinkle
• Robert Shipp
• Matthew Shlim
• Thorsen Shoupe
• Jacee Shultz
• Gillian Emily Siegel, LCSW
• Amanda Sifrit

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.