Active NPI
Susan Jane Stoddard, MS
- Professional Counselor
- Laramie, WY
National Provider Identifier
1295915890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-104
- Practice address
- 1277 N 15TH St
Pendley & Associates, Inc.
Laramie, WY 82072-2343 - Phone
- (307) 742-6222
- NPI assigned
- Nov 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-104 | WY | Primary |
Addresses
Primary practice location
1277 N 15TH St
Pendley & Associates, Inc.
Laramie, WY 82072-2343
Mailing address
1277 N 15TH St
Pendley & Associates, Inc.
Laramie, WY 82072-2343
Phone (307) 742-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-104 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1295915890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 N 15TH ST",
"address_2": "PENDLEY & ASSOCIATES, INC.",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722343",
"telephone_number": "307-742-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 N 15TH ST",
"address_2": "PENDLEY & ASSOCIATES, INC.",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722343",
"telephone_number": "307-742-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "SUSAN",
"middle_name": "JANE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.