Active NPI
Carissa Louise Painter-Sams, MS LPC
- Counselor
- Gillette, WY
National Provider Identifier
1366153116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2127
- Practice address
- 100 Warren Ave
Gillette, WY 82716-3728 - Phone
- (307) 680-1045
- Fax
- (307) 682-2968
- NPI assigned
- Dec 12, 2022
- Last updated
- Aug 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PPC-1221 | WY | |
| Counselor | 101Y00000X | 2127 | WY | Primary |
Addresses
Primary practice location
100 Warren Ave
Gillette, WY 82716-3728
Mailing address
641 Par Dr
Gillette, WY 82718-7623
Other names 1
- Casey Louise Painter-Sams
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2127 | WY | MD | Counselor |
| PPC-1221 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1366153116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 PAR DR",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827187623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WARREN AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163728",
"telephone_number": "307-680-1045",
"fax_number": "307-682-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER-SAMS",
"first_name": "CARISSA",
"middle_name": "LOUISE",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2025-08-25",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "PPC-1221",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "2127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "PAINTER-SAMS",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.