Jason Thomas Merrick, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casper, WY
NPI 1285500751 · NPPES record last updated Oct 13, 2025
Key facts
- NPI
- 1285500751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 164581 (KY)
- Practice address
- 1430 Wilkins Cir
Casper, WY 82601-1336 - Phone
- (307) 237-9583
- NPI assigned
- Oct 13, 2025
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164581 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 164581 | KY | Yes |
Addresses
Primary practice location
1430 Wilkins Cir
Casper, WY 82601-1336
Mailing address
214 W 7TH St
Casper, WY 82601-3113
Phone (859) 414-4390
Other providers in Casper, WY
- Tsehay Mengiste
- Lauren Elizabeth Menter
- Tabbitha Menzel
- Mercer Family Resource Center, Inc.
- Jacob Jeffrey Merrell
- Carrie L Merrill
- Barbara Kay Merz
- Lindsay Nicole Metli
- Albert Victor Metz Jr.
- Ugochukwu Success Mgbudomobi
All providers in Casper, WY · Addiction (Substance Use Disorder) Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.