Active NPI
Mary K Richard, MA LPC LAT
- Addiction (Substance Use Disorder) Counselor
- Cheyenne, WY
National Provider Identifier
1154491645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 182
- Practice address
- 2310 E 8TH St
Cheyenne, WY 82001-5256 - Phone
- (307) 634-6433
- Fax
- (307) 635-7982
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 182 | WY | Primary |
Addresses
Primary practice location
2310 E 8TH St
Cheyenne, WY 82001-5256
Mailing address
2310 E 8TH St
Cheyenne, WY 82001-5256
Phone (307) 634-6433
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182 | WY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1154491645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 E 8TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015256",
"telephone_number": "307-634-6433",
"fax_number": "307-635-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 E 8TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015256",
"telephone_number": "307-634-6433",
"fax_number": "307-635-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "MARY",
"middle_name": "K",
"credential": "MA LPC LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.