Individual provider Active NPI

Alyssamarie Gwendolyn McCann, M.S., PPC

  • Counselor
  • Cheyenne, WY
National Provider Identifier
1386428563
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PPC-1403 Issued in WY
Practice address
2617 E Lincolnway
Cheyenne, WY 82001-5660
Phone
(307) 514-1288
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PPC-1403 WY Primary

Addresses

Primary practice location

2617 E Lincolnway
Cheyenne, WY 82001-5660

Mailing address

720 Cottonwood Dr
Cheyenne, WY 82001-6943
Phone (307) 760-4165

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
I20260327000477 WY Practitioner - Mental Health Counselor 6507341674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halcyon CounselingGroup PAC ID 1153771951, 2 clinicians

Practice addresses (Care Compare)

2622 Pioneer Ave
Cheyenne, WY 82001-3024
Phone (307) 287-7685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PPC-1403WYMDCounselor

Organizations & group practices 1

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1386428563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COTTONWOOD DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820016943",
            "telephone_number": "307-760-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E LINCOLNWAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015660",
            "telephone_number": "307-514-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "ALYSSAMARIE",
        "middle_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "M.S., PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.