Griz-MTN Enterprises LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

413 Issued in WY

Legal business name

GRIZ-MTN ENTERPRISES LLC

Practice address

1949 Sugarland Dr Ste 160
Sheridan, WY 82801-5764

Phone

(307) 752-5435

Fax

(307) 448-4800

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

David Orrin Pearson, L.P.C., L.A.T.NPI 1447424312

Title

Therapist

Phone

(307) 752-5435

Specialties & licenses 1

Addresses

Other names 2

• Counseling Services Doing business as
• David Pearson Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Orrin Pearson, MA, LPC, LAT, CCHT

  • Professional Counselor
  • Sheridan, WY
  • NPI 1447424312

  Professional, WY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1295725844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6468",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011868",
            "telephone_number": "307-752-5435",
            "fax_number": "307-448-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 160",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015764",
            "telephone_number": "307-752-5435",
            "fax_number": "307-448-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIZ-MTN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ORRIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "307-752-5435",
        "authorized_official_credential": "L.P.C., L.A.T."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "David Pearson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sheridan, WY
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.