Active NPI
Alyssamarie Gwendolyn McCann, M.S., PPC
- Counselor
- Cheyenne, WY
National Provider Identifier
1386428563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PPC-1403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Counseling
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
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1403 | WY | MD | Counselor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.