Organization Active NPI

Sheridan Counseling Practice, LLC

  • Community/Behavioral Health Agency
  • Sheridan, WY
National Provider Identifier
1437696382
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC 1614 Issued in WY
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

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Beth A Lenz, M.ED, LPCNPI 1528406071
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240305000103 WY Part B Supplier - Clinic/Group Practice 1254776941 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.