Active NPI
Amanda V Lukehart, MS LPC
- Case Manager/Care Coordinator
- Gillette, WY
National Provider Identifier
1205981909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 908 S Gillette Ave
Gillette, WY 82716-4807 - Phone
- (307) 660-5876
- Fax
- (307) 686-2587
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 1466 | WY | |
| Professional Counselor | 101YP2500X | LPC 1466 | WY | |
| Professional Counselor | 101YP2500X | PPC 246 | WY | |
| Professional Counselor | 101YP2500X | NCC202665 | NC | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
908 S Gillette Ave
Gillette, WY 82716-4807
Mailing address
908 S Gillette Ave
Gillette, WY 82716-4807
Phone (307) 660-5876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 1466 | WY | MD | Mental Health Counselor |
| NCC202665 | NC | MD | Professional Counselor |
| PPC 246 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1205981909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 S GILLETTE AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827164807",
"telephone_number": "307-660-5876",
"fax_number": "307-686-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 S GILLETTE AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827164807",
"telephone_number": "307-660-5876",
"fax_number": "307-686-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKEHART",
"first_name": "AMANDA",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "LPC 1466",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC 1466",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "PPC 246",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "NCC202665",
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.