Premium Mental Health Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PREMIUM MENTAL HEALTH INC

Practice address

1262 N 22ND St Unit B
Laramie, WY 82072-5307

Phone

(307) 742-6222

Fax

(307) 742-9233

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Megan Ann Smith

Title

Vice President

Phone

(307) 742-8710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1285074476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 N 22ND ST UNIT B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725307",
            "telephone_number": "307-742-6222",
            "fax_number": "307-459-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 N 22ND ST UNIT B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725307",
            "telephone_number": "307-742-6222",
            "fax_number": "307-742-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "307-742-8710"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.