Individual provider Active NPI

Stephen Mark Brown, LPC 1773

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1205101508
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1773 Issued in WY
Practice address
1432 E 2ND St
Casper, WY 82601-2960
Phone
(307) 439-4928
NPI assigned
Mar 20, 2012
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP-123 WY
Professional Counselor 101YP2500X 1773 WY Primary

Addresses

Primary practice location

1432 E 2ND St
Casper, WY 82601-2960

Mailing address

330 S Center St Ste 350
Casper, WY 82601-2898
Phone (307) 439-4928

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
I20260305001152 WY Practitioner - Mental Health Counselor 0446732796 Practice locations: Casper, WY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2244 E 24TH St
Apt Suite
Casper, WY 82609-3424

2244 E 24TH St Apt
Casper, WY 82609-3424

330 S Ctr St
Suite 350
Casper, WY 82601-2898
Phone (307) 439-4928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAP-123WYMDAddiction (Substance Use Disorder) Counselor
1773WYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1205101508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S CENTER ST STE 350",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012898",
            "telephone_number": "307-439-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012960",
            "telephone_number": "307-439-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "credential": "LPC 1773",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "CAP-123",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.