Individual provider Active NPI

Charlotte Bohren, M.S. LPC

  • Professional Counselor
  • Sheridan, WY
National Provider Identifier
1194272104
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-2152 Issued in WY
Practice address
323 W Loucks St
Sheridan, WY 82801-4158
Phone
(307) 674-1520
Fax
(307) 222-0417
NPI assigned
Sep 7, 2016
Last updated
Apr 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1172 WY
Professional Counselor 101YP2500X LPC-2152 WY Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

323 W Loucks St
Sheridan, WY 82801-4158

Mailing address

323 W Loucks St
Sheridan, WY 82801-4158
Phone (307) 674-1520

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
I20250319003293 WY Practitioner - Mental Health Counselor 3870938913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1172WYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Counseling, Inc CurrentSince Jan 28, 2025 Accepting new patients
Wyoming Counseling Inc Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1194272104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W LOUCKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014158",
            "telephone_number": "307-674-1520",
            "fax_number": "307-222-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W LOUCKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014158",
            "telephone_number": "307-674-1520",
            "fax_number": "307-222-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHREN",
        "first_name": "CHARLOTTE",
        "credential": "M.S. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1172",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2152",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.