NPIMap

Organization Active NPI

Mountains Edge Counseling, LLC

  • Counselor
  • Sheridan, WY
National Provider Identifier
1184854689
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC - 790 Issued in WY
Legal business name
MOUNTAINS EDGE COUNSELING, LLC
Practice address
406 W Loucks St
Sheridan, WY 82801-4129
Phone
(307) 673-4647
Fax
(307) 674-1724
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Ms. Jennifer B Jones-Robinson, LPC, LAT,MAC
Title
Owner
Phone
(307) 673-4647

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC - 790 WY Primary
Early Intervention Provider Agency 252Y00000X LPC 790 WY
Adolescent and Children Mental Health Clinic/Center 261QM0855X LPC - 790 WY
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X LAT - 294 WY
Children's Substance Abuse Rehabilitation Facility 3245S0500X LPC-790 WY

Addresses

Primary practice location

406 W Loucks St
Sheridan, WY 82801-4129

Mailing address

406 W Loucks St
Sheridan, WY 82801-4129
Phone (307) 673-4647

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1184854689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W LOUCKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014129",
            "telephone_number": "307-673-4647",
            "fax_number": "307-674-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W LOUCKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014129",
            "telephone_number": "307-673-4647",
            "fax_number": "307-674-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINS EDGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "JONES-ROBINSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-673-4647",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LAT,MAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC - 790",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WY",
            "license": "LPC 790",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WY",
            "license": "LPC - 790",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WY",
            "license": "LAT - 294",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "WY",
            "license": "LPC-790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.