Cassandra Lois Crumpton

Individual provider Active NPI Mental Health Counselor · Pinedale, WY

NPI 1225833460 · NPPES record last updated Jul 16, 2025

Key facts

NPI
1225833460
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PPC-1549 (WY)
Practice address
219 E Pine St Apt 201
Pinedale, WY 82941-5350
Phone
(307) 734-6040
NPI assigned
Feb 13, 2025
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PPC-1549WYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X PPC-1549 WY Yes

Addresses

Primary practice location

219 E Pine St Apt 201
Pinedale, WY 82941-5350

Mailing address

31 Antelope TRL
Pinedale, WY 82941-9026
Phone (307) 705-8345

Other providers in Pinedale, WY

All providers in Pinedale, WY · Mental Health Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.