Individual provider Active NPI

Heather Schmelzle, MA, LPC

  • Counselor
  • Gillette, WY
National Provider Identifier
1376947770
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC1666 Issued in WY
Practice address
707 W 8TH St
Gillette, WY 82716
Phone
(307) 685-8255
Fax
(888) 852-8319
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC1666 WY Primary
Counselor 101Y00000X PPC 853 WY

Addresses

Primary practice location

707 W 8TH St
Gillette, WY 82716

Mailing address

5506 Derringer Dr
Gillette, WY 82718-4110
Phone (307) 299-6128

Other practice location 1

301 Richards Ave
Gillette, WY 82716-3632
Phone (307) 685-6982

Other identifiers 1

IdentifierTypeStateIssuer
1376947770MedicaidWY

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 Arts

State licenses

LicenseStateTypeSpecialty
LPC1666WYMDCounselor
PPC 853WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections, LLC Past Accepting new patients
Adonai Mental Health Services PastSince Aug 5, 2013 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1376947770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 DERRINGER DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827184110",
            "telephone_number": "307-299-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 8TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82716",
            "telephone_number": "307-685-8255",
            "fax_number": "888-852-8319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Richards Ave",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163632",
            "country_code": "US",
            "telephone_number": "307-685-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMELZLE",
        "first_name": "HEATHER",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC1666",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC 853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376947770",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 25, 2018; 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.