Individual provider Active NPI

Tabatha Keefer, PPC

  • Mental Health Counselor
  • Torrington, WY
National Provider Identifier
1265022321
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1225 Issued in WY
Practice address
1757 W C St
Torrington, WY 82240-3215
Phone
(307) 338-2256
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1225 WY Primary

Addresses

Primary practice location

1757 W C St
Torrington, WY 82240-3215

Mailing address

4397 McKenna Rd
Torrington, WY 82240-8452
Phone (307) 575-1326

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4397 McKenna Rd
Torrington, WY 82240-8452
Phone (307) 575-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Courage Counseling, LLC CurrentSince Mar 20, 2025 Accepting new patients
Stacey Houk Family Enrichment Center LLC Multi-Specialty CurrentSince Jan 24, 2021 Accepting new patients

Locations

140 S Main St
Buffalo, WY 82834
Phone (307) 217-2161

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1265022321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4397 MCKENNA RD",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822408452",
            "telephone_number": "307-575-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 W C ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403215",
            "telephone_number": "307-338-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "TABATHA",
        "credential": "PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

Verify at the official NPI Registry.