Individual provider Active NPI

Gissel Bernard-Molina, PPC

  • Counselor
  • Laramie, WY
National Provider Identifier
1396565883
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PPC-1320 Issued in WY
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

Updated by the provider on Oct 10, 2024

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-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

IdentifierTypeStateIssuer
PPC-1320OtherWYSTATE LICENSE

Other names 1

  • Gissel Molina Former name

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

LicenseStateTypeSpecialty
PPC-1320WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Clinic, LLC CurrentSince Oct 13, 2024 Accepting new patients
Skye Yoga Counseling, LLC CurrentSince Oct 13, 2024 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.

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.

Verify at the official NPI Registry.