Gordon L Roupe, BSW, CMHW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CMHW-055 Issued in WY

Practice address

401 S 23Rd St
Worland, WY 82401-3725

Phone

(307) 347-6165

Fax

(307) 347-6166

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1306960638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 23RD ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013725",
            "telephone_number": "307-347-6165",
            "fax_number": "307-347-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 23RD ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013725",
            "telephone_number": "307-347-6165",
            "fax_number": "307-347-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUPE",
        "first_name": "GORDON",
        "middle_name": "L",
        "credential": "BSW, CMHW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "CMHW-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352907",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352908",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Bruce Robertson, R.PH.
• Fee Rocha
• Christian L Roessing
• Lorinda Roessing
• Danielle A Ross
• Thomas Ruckman
• Mark C Russler, MSW, LCSW
• Jennifer Lynn Ryan, MS CCC SLP
• Margery Dianna Sanchez
• Kaitlyn Sauza

• Counselor in Worland, WY
• Providers in Worland, WY by specialty
• Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.