Individual provider Active NPI

Patrice J. Lichliter, MSW, PCSW #235

  • Counselor
  • Casper, WY
National Provider Identifier
1235375684
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PCSW235 Issued in WY
Practice address
1440 Wilkins Circle
Casper, WY 82601
Phone
(307) 237-1800
Fax
(307) 237-7126
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PCSW235 WY Primary

Addresses

Primary practice location

1440 Wilkins Circle
Casper, WY 82601

Mailing address

1430 Wilkins Circle
Casper, WY 82601
Phone (307) 237-9583

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
I20150831003177 WY Practitioner - Clinical Social Worker 6608182027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wyoming Counseling CenterGroup PAC ID 7416270939, 20 clinicians

Practice addresses (Care Compare)

1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCSW235WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natrona County Behavioral Health Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1235375684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILKINS CIRCLE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-237-9583",
            "fax_number": "307-265-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WILKINS CIRCLE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-237-1800",
            "fax_number": "307-237-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHLITER",
        "first_name": "PATRICE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "MSW, PCSW #235",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PCSW235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.