The Clinic for Mental Health and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-992 Issued in WY

Legal business name

THE CLINIC FOR MENTAL HEALTH AND WELLNESS

Practice address

504 South 4TH Street
Laramie, WY 82070

Phone

(307) 755-1000

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Martha Nesslinger

Title

Counselor

Phone

(307) 755-1000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1457634040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SOUTH 4TH STREET",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82070",
            "telephone_number": "307-755-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC FOR MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "NESSLINGER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "307-755-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Jacobs-Castano PC
• Kelli Terrell
• Tessa Matzen, LCSW LLC
• Lauren Elizabeth Thacker-Lynn, PHARMD
• The Clinic for Mental Health & Wellness
• Patricia Thobro, LPC
• Donovan Thomalla
• Martin Thoman
• Thomas P Goodell MD PC
• Thomas Perry Goodell, MD, PC

• Mental Health Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.