Jerry Lewis Alvin, CAP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cheyenne, WY
NPI 1356308951 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1356308951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAP046A (WY)
- Practice address
- 2360 E Pershing Blvd
Cheyenne, WY 82001-5356 - Phone
- (307) 778-7550
- Fax
- (307) 778-7393
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAP046A | WY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP046A | WY | Yes |
Addresses
Primary practice location
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Mailing address
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Phone (307) 778-7550
Other providers in Cheyenne, WY
- Alton J. Krenzelok D C P C
- Lenis Yesel Alvarado-Benitez
- Amy Alvarado
- Daniella Alvarez
- Danielle Alvarez
- Ambition Health, LLC
- American Eagle Emergency Physicians, LLC
- American Health Benefits
- American Medical Associates, Inc
- American Medical Response Ambulance Service Inc
All providers in Cheyenne, WY · Addiction (Substance Use Disorder) Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.