Kevin James Parker
Individual provider Active NPI Professional Counselor · Sheridan, WY
NPI 1508339649 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1508339649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-1903 (WY)
- Practice address
- 1221 W 5TH St
Sheridan, WY 82801-2701 - Phone
- (307) 674-4405
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1903 | WY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-1903 | WY | Yes |
Addresses
Primary practice location
1221 W 5TH St
Sheridan, WY 82801-2701
Mailing address
1221 W 5TH St
Sheridan, WY 82801-2701
Phone (307) 674-4405
Other providers in Sheridan, WY
- Dusty Pack
- Brielle Pagett
- Pain Care Center, LLC
- Kelly Papesh
- Cathy J Parish
- Michelle Renee Parker
- Amanda Parks
- Janna Parrott
- Carol A. Pastore-Watkins
- Patmos Health LLC
All providers in Sheridan, WY · Professional Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.