Active NPI
Gissel Bernard-Molina, PPC
- Counselor
- Laramie, WY
National Provider Identifier
1396565883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PPC-1320
- Practice address
- 504 E Lyon St
Laramie, WY 82072-2132 - Phone
- (307) 223-2172
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
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-1320 | WY | Primary |
Addresses
Primary practice location
504 E Lyon St
Laramie, WY 82072-2132
Mailing address
2737 Nighthawk Dr
Laramie, WY 82072-1992
Phone (307) 223-2172
Other practice location 1
315 E Flint St Apt C
Laramie, WY 82072-2549
Phone (307) 314-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PPC-1320 | Other | WY | STATE LICENSE |
Other names 1
- Gissel Molina
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1320 | WY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Clinic, LLC | Current | Accepting new patients | |
| Skye Yoga Counseling, LLC | Current | Accepting new patients |
Locations
504 E Lyon St
Laramie, WY 82072
Phone (307) 223-2172
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.
-
- Primary Care Clinic/Center
- Laramie, WY
- NPI 1285777607
-
- Mental Health Counselor
- Laramie, WY
- NPI 1699470831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1396565883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 NIGHTHAWK DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820721992",
"telephone_number": "307-223-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E LYON ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722132",
"telephone_number": "307-223-2172"
}
],
"practiceLocations": [
{
"address_1": "315 E Flint St Apt C",
"address_purpose": "LOCATION",
"city": "Laramie",
"state": "WY",
"postal_code": "820722549",
"country_code": "US",
"telephone_number": "307-314-4434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNARD-MOLINA",
"first_name": "GISSEL",
"credential": "PPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "PPC-1320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PPC-1320",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GISSEL",
"last_name": "MOLINA",
"credential": "PPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.