Individual provider Active NPI

Amanda R Vroman, PPC

  • Professional Counselor
  • Riverton, WY
National Provider Identifier
1194186320
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-2169 Issued in WY
Practice address
1110 Major Ave
Riverton, WY 82501-2342
Phone
(307) 857-9455
Fax
(307) 330-0450
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PPC-1219 WY
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP-161 WY
Professional Counselor 101YP2500X LPC-2169 WY Primary

Addresses

Primary practice location

1110 Major Ave
Riverton, WY 82501-2342

Mailing address

1110 Major Ave
Riverton, WY 82501-2342
Phone (307) 856-6587

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000723 WY Practitioner - Mental Health Counselor 7810337599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fremont Counseling ServiceGroup PAC ID 3476535105, 8 clinicians

Practice addresses (Care Compare)

1110 Major Ave
Riverton, WY 82501-2342
Phone (307) 856-6587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPC-1219WYMDCounselor
CAP-161WYMDAddiction (Substance Use Disorder) Counselor
LPC-2169WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont County Behavioral Health Current Accepting new patients
Fremont Counseling Service CurrentSince Mar 4, 2024 Accepting new patients

Locations

748 Main St
Lander, WY 82520
Phone (307) 332-2231

1110 Major Ave
Riverton, WY 82501
Phone (307) 332-2231

Organizations & group practices 2

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1194186320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MAJOR AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012342",
            "telephone_number": "307-856-6587",
            "fax_number": "307-856-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MAJOR AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012342",
            "telephone_number": "307-857-9455",
            "fax_number": "307-330-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROMAN",
        "first_name": "AMANDA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1219",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "CAP-161",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.