Individual provider Active NPI

Carissa Louise Painter-Sams, MS LPC

  • Counselor
  • Gillette, WY
National Provider Identifier
1366153116
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2127 Issued in WY
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
2127WYMDCounselor
PPC-1221WYMDCounselor

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.

Verify at the official NPI Registry.