Active NPI
Corey Wentz, MS, LPC, LAT
- Professional Counselor
- Casper, WY
National Provider Identifier
1528394772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 817
- Practice address
- 1301 S Wisconsin Ave
Casper, WY 82609-2936 - Phone
- (307) 472-5433
- Fax
- (307) 337-3705
- NPI assigned
- Oct 22, 2009
- Last updated
- Mar 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT 286 | WY | |
| Professional Counselor | 101YP2500X | LPC 817 | WY | Primary |
Addresses
Primary practice location
1301 S Wisconsin Ave
Casper, WY 82609-2936
Mailing address
PO Box 552
Casper, WY 82602-0552
Phone (307) 797-4683
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT 286 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| LPC 817 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Counseling LLC | Addiction (Substance Use Disorder) | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1528394772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 552",
"city": "CASPER",
"state": "WY",
"postal_code": "826020552",
"telephone_number": "307-797-4683",
"fax_number": "307-337-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S WISCONSIN AVE",
"city": "CASPER",
"state": "WY",
"postal_code": "826092936",
"telephone_number": "307-472-5433",
"fax_number": "307-337-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "COREY",
"credential": "MS, LPC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "LAT 286",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC 817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.