Individual provider Active NPI

Glenn L Hammer, M.S., LPC

  • Professional Counselor
  • Laramie, WY
National Provider Identifier
1396846879
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-804 Issued in WY
Practice address
1575 N 4TH St Ste 103
Laramie, WY 82072-2091
Phone
(307) 721-0700
Fax
(307) 721-1039
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC804 WY
Professional Counselor 101YP2500X LPC-804 WY Primary

Addresses

Primary practice location

1575 N 4TH St Ste 103
Laramie, WY 82072-2091

Mailing address

1575 N 4TH St Ste 103
Laramie, WY 82072-2091
Phone (307) 721-0700

Other identifiers 1

IdentifierTypeStateIssuer
312848OtherWYBLUE CROSS BLUE SHEILD

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
I20240123001259 WY Practitioner - Mental Health Counselor 9335156702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathway IncGroup PAC ID 1254348626, 3 clinicians

Practice addresses (Care Compare)

1575 N 4TH St
Suite 103
Laramie, WY 82072-2091
Phone (307) 721-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC804WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway, Inc. CurrentSince May 1, 2004 Accepting new patients

Locations

1575 N 4th St
Ste 103
Laramie, WY 82072
Phone (307) 721-0700

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1396846879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N 4TH ST STE 103",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722091",
            "telephone_number": "307-721-0700",
            "fax_number": "307-721-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 4TH ST STE 103",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722091",
            "telephone_number": "307-721-0700",
            "fax_number": "307-721-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "GLENN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC804",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "312848",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.