Ashlee Mickelson LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LCSW-820 Issued in WY

Legal business name

ASHLEE MICKELSON LLC

Practice address

504 S 4TH St
Laramie, WY 82070-3704

Phone

(307) 755-1000

NPI assigned

Oct 15, 2017

Last updated

Oct 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashlee Mickelson, LCSWNPI 1881978435

Title

Owner/Therapist

Phone

(307) 272-3515

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashlee Mickelson, LSCW

  • Clinical Social Worker
  • Laramie, WY
  • NPI 1881978435
  Authorized official Same address or phone

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

{
    "created_epoch": "1508025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1316458540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703720",
            "telephone_number": "307-272-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEE MICKELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-15",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "307-272-3515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WY",
            "license": "LCSW-820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Laramie, WY
• Providers in Laramie, WY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.