Active NPI
Larry J Andrews, PHD, LPC
- Counselor
- Cody, WY
National Provider Identifier
1508992785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC352
- Practice address
- 1102 Beck Ave
Cody, WY 82414-3624 - Phone
- (307) 587-8889
- NPI assigned
- Feb 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC352 | WY | Primary |
Addresses
Primary practice location
1102 Beck Ave
Cody, WY 82414-3624
Mailing address
18 John Wayne LN
Powell, WY 82435-9469
Phone (307) 272-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303854 | Other | BCBS PROV # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC352 | WY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Counseling Center | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Cody, WY
- NPI 1023144201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508992785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 JOHN WAYNE LN",
"city": "POWELL",
"state": "WY",
"postal_code": "824359469",
"telephone_number": "307-272-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 BECK AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143624",
"telephone_number": "307-587-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "LARRY",
"middle_name": "J",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LPC352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "303854",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.