NPIMap

Organization Active NPI

Pioneer Counseling Services

  • Mental Illness Community Based Residential Treatment Facility
  • Evanston, WY
National Provider Identifier
1306681739
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PIONEER COUNSELING SERVICES
Practice address
448 Ross Ave
Evanston, WY 82930-5018
Phone
(307) 789-7915
Fax
(307) 789-6009
NPI assigned
Jun 27, 2024
Organization subpart
Yes
Parent organization
PIONEER COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Dorothy Conger, LPC
Title
Executive Director
Phone
(307) 789-7915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

448 Ross Ave
Evanston, WY 82930-5018

Mailing address

350 City View Dr Ste 206
Evanston, WY 82930-5326
Phone (307) 789-7915

National Provider Directory

National Provider Directory
Tax ID family
Lisa Faulkner8 organizations share this tax ID, including this one
Part of
Lisa Faulkner

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1306681739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR STE 206",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305326",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 ROSS AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305018",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER COUNSELING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER COUNSELING SERVICES",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "CONGER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-789-7915",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.