Active NPI
Heather Schmelzle, MA, LPC
- Counselor
- Gillette, WY
National Provider Identifier
1376947770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC1666
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376947770 | Medicaid | WY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1666 | WY | MD | Counselor |
| PPC 853 | WY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Connections, LLC | Past | Accepting new patients | |
| Adonai Mental Health Services | Past | 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.
-
- Adult Mental Health Clinic/Center
- Gillette, WY
- NPI 1366878977
-
- Community/Behavioral Health Agency
- Gillette, WY
- NPI 1689979361
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.