Active NPI
Kathy Ecklund, LPC
- Professional Counselor
- Casper, WY
National Provider Identifier
1346473592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-1095
- Practice address
- 2521 E 15TH St
Casper, WY 82609-4126 - Phone
- (307) 237-7444
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- No
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-1095 | WY | Primary |
Addresses
Primary practice location
2521 E 15TH St
Casper, WY 82609-4126
Mailing address
2521 E 15TH St
Casper, WY 82609-4126
Phone (307) 237-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-1095 | Other | WY | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1095 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1346473592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 E 15TH ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094126",
"telephone_number": "307-237-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 E 15TH ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094126",
"telephone_number": "307-237-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLUND",
"first_name": "KATHY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-1095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LPC-1095",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.