Kimberly Cournoyer, MA, LPC
Individual provider Active NPI Professional Counselor · Laramie, WY
NPI 1205596384 · NPPES record last updated Dec 12, 2023
Key facts
- NPI
- 1205596384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-2230 (WY)
- Practice address
- 502 S 4TH St
Laramie, WY 82070-3704 - Phone
- (307) 755-1000
- NPI assigned
- Dec 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1286 | WY | MD | Counselor |
| LPC-2230 | WY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PPC-1286 | WY | |
| Professional Counselor | 101YP2500X | LPC-2230 | WY | Yes |
Addresses
Primary practice location
502 S 4TH St
Laramie, WY 82070-3704
Mailing address
502 S 4TH St
Laramie, WY 82070-3704
Phone (307) 331-8747
Other providers in Laramie, WY
- Catherine Rahm Coudray
- Michelle Leanne Coulter
- Counseling & Consulting: Karen Robertson, PC
- County of Albany
- Julian Coupal
- Gregory Courson
- Morgan Cousins
- Cowboy Hearing LLC
- Samantha S Cowper
- Brad Cox
All providers in Laramie, WY · Professional Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.