Active NPI
Memorial Hospital of Laramie County
- Professional Counselor
- Cheyenne, WY
National Provider Identifier
1376279059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MEMORIAL HOSPITAL OF LARAMIE COUNTY
- Practice address
- 214 E 23Rd St
Cheyenne, WY 82001-3748 - Phone
- (307) 633-7310
- Fax
- (307) 633-7202
- NPI assigned
- Jul 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad White
- Title
- Administrator of Revenue
- Phone
- (307) 633-6198
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
214 E 23Rd St
Cheyenne, WY 82001-3748
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 996-4777
Other names 1
- PART
National Provider Directory
National Provider Directory- Tax ID family
- Memorial Hospital of
- Part of
- Memorial Hospital of
Other organizations with this tax ID 19
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Cheyenne, WY
- NPI 1144768086
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1275916660
-
- Case Management Agency
- Torrington, WY
- NPI 1780942359
-
- Registered Dietitian
- Cheyenne, WY
- NPI 1982338935
-
- Hematology & Oncology Physician
- Cheyenne, WY
- NPI 1053070953
-
- Home Health Agency
- Cheyenne, WY
- NPI 1073842225
-
- Radiation Oncology Physician
- Cheyenne, WY
- NPI 1144989047
-
- Internal Medicine Physician
- Cheyenne, WY
- NPI 1174259865
-
- Family Medicine Physician
- Cheyenne, WY
- NPI 1194642736
-
- Family Medicine Physician
- Cheyenne, WY
- NPI 1295494037
-
- Hospitalist Physician
- Cheyenne, WY
- NPI 1336684190
-
- Home Health Agency
- Cheyenne, WY
- NPI 1568426435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783036800000",
"number": "1376279059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20970",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037020",
"telephone_number": "307-996-4777",
"fax_number": "307-773-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 23RD ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013748",
"telephone_number": "307-633-7310",
"fax_number": "307-633-7202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-26",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "ADMINISTRATOR OF REVENUE",
"authorized_official_telephone_number": "307-633-6198"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PART",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cheyenne, WY
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.