Active NPI
Clay William Dokken, PPC
- Professional Counselor
- Gillette, WY
National Provider Identifier
1154626711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1336
- Practice address
- 400 S Kendrick Ave
Suite 204
Gillette, WY 82716-3848 - Phone
- (307) 685-7115
- NPI assigned
- Jan 12, 2011
- Last updated
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1336 | WY | Primary |
Addresses
Primary practice location
400 S Kendrick Ave
Suite 204
Gillette, WY 82716-3848
Mailing address
2716 Sagebrush Ave
Cheyenne, WY 82009-4437
Phone (307) 287-5141
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Counseling & Consulting | Current | Accepting new patients |
Locations
4025 Rawlins St
Cheyenne, WY 82001
Phone (307) 426-4797
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Cheyenne, WY
- NPI 1538462783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1154626711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 SAGEBRUSH AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094437",
"telephone_number": "307-287-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S KENDRICK AVE",
"address_2": "SUITE 204",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163848",
"telephone_number": "307-685-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOKKEN",
"first_name": "CLAY",
"middle_name": "WILLIAM",
"credential": "PPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-12",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "1336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.