Individual provider Active NPI

Brianne Wooldridge, LPC-1589

  • Counselor
  • Sundance, WY
National Provider Identifier
1366868150
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC1589 Issued in WY
Practice address
120 N 4TH St Ste D
Sundance, WY 82729-5033
Phone
(307) 283-3898
Fax
(307) 283-3898
NPI assigned
Mar 17, 2014
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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
Counselor 101Y00000X LPC1589 WY Primary

Addresses

Primary practice location

120 N 4TH St Ste D
Sundance, WY 82729-5033

Mailing address

542 Running W Dr
Gillette, WY 82718-2074
Phone (307) 257-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425001442 WY Practitioner - Mental Health Counselor 2264872167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Therapy LLCGroup PAC ID 7315274883, 8 clinicians

Practice addresses (Care Compare)

542 Running W Dr
Gillette, WY 82718-2074
Phone (307) 257-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC1589WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Therapy LLC Counselor CurrentSince Mar 16, 2024 Accepting new patients
Campbell County Hospital District Past Accepting new patients

Locations

542 Running W Dr
Gillette, WY 82718
Phone (307) 257-2331

812 E 4th St
Gillette, WY 82716
Phone (307) 257-7180

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1366868150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 RUNNING W DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182074",
            "telephone_number": "307-257-2331",
            "fax_number": "307-670-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 4TH ST STE D",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827295033",
            "telephone_number": "307-283-3898",
            "fax_number": "307-283-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "BRIANNE",
        "credential": "LPC-1589",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sundance, WY

Sources for this page

Verify at the official NPI Registry.