Organization Active NPI

Timberline Counseling LLC

  • Marriage & Family Therapist
  • Sheridan, WY
National Provider Identifier
1477289205
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TIMBERLINE COUNSELING LLC
Doing business as
Timberline Counseling LLC
Practice address
1949 Sugarland Dr Ste 180
Sheridan, WY 82801-5720
Phone
(307) 461-9619
NPI assigned
Jul 25, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Kevin VanceNPI 1275739500
Title
Ceo
Phone
(307) 461-9619

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1949 Sugarland Dr Ste 180
Sheridan, WY 82801-5720

Mailing address

101 E Loucks St Unit 3014
Sheridan, WY 82801-6428
Phone (307) 461-9619

Other names 1

  • Timberline Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

101 E Loucks St
Unit 3014
Sheridan, WY 82801
Phone (307) 752-3463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1477289205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LOUCKS ST UNIT 3014",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016428",
            "telephone_number": "307-461-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 180",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015720",
            "telephone_number": "307-461-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-461-9619"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timberline Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2022; 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.