Active NPI
Sheridan Counseling Practice, LLC
- Community/Behavioral Health Agency
- Sheridan, WY
National Provider Identifier
1437696382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC 1614
- Legal business name
- SHERIDAN COUNSELING PRACTICE, LLC
- Practice address
- 1949 Sugarland Dr Ste 152
Sheridan, WY 82801-5720 - Phone
- (307) 461-0818
- Fax
- (307) 448-4800
- NPI assigned
- Jan 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth A Lenz, M.ED, LPC
- Title
- License Professional Counselor
- Phone
- (307) 461-0818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC 1614 | WY | Primary |
Addresses
Primary practice location
1949 Sugarland Dr Ste 152
Sheridan, WY 82801-5720
Mailing address
1949 Sugarland Dr Ste 152
Sheridan, WY 82801-5720
Phone (307) 461-0818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
303 S Main St
Ste 104
Sheridan, WY 82801
1949 Sugarland Dr
Ste 152
Sheridan, WY 82801
Phone (307) 461-0818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Sheridan, WY
- NPI 1528406071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1437696382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 SUGARLAND DR STE 152",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015720",
"telephone_number": "307-461-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 SUGARLAND DR STE 152",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015720",
"telephone_number": "307-461-0818",
"fax_number": "307-448-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN COUNSELING PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "LENZ",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "307-461-0818",
"authorized_official_credential": "M.ED, LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WY",
"license": "LPC 1614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.