Individual provider Active NPI

Holly Labrake

  • Professional Counselor
  • Sheridan, WY
National Provider Identifier
1316431919
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-2340 Issued in WY
Practice address
45 E Loucks St Ste 18
Sheridan, WY 82801-6328
Phone
(307) 338-8500
NPI assigned
Jun 18, 2018
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-2340 WY Primary

Addresses

Primary practice location

45 E Loucks St Ste 18
Sheridan, WY 82801-6328

Mailing address

1843 Maple Ave
Sheridan, WY 82801-8459
Phone (307) 338-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826002497 WY Practitioner - Mental Health Counselor 3678073319 Practice locations: Sheridan, WY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1843 Maple Ave
Sheridan, WY 82801-8459

45 E Loucks St
Suite 18
Sheridan, WY 82801-6328
Phone (307) 338-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-2340WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

45 E Loucks St
Ste 18
Sheridan, WY 82801
Phone (307) 338-8500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1316431919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 MAPLE AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018459",
            "telephone_number": "307-338-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E LOUCKS ST STE 18",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016328",
            "telephone_number": "307-338-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRAKE",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.