Active NPI
Gary R Engen, MSW, LPC
- Counselor
- Laramie, WY
National Provider Identifier
1558347336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1134
- Practice address
- 1263 N 15TH St
Laramie, WY 82072-2343 - Phone
- (307) 745-8915
- Fax
- (307) 745-8761
- NPI assigned
- Dec 22, 2005
- 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 | 1134 | WY | Primary |
Addresses
Primary practice location
1263 N 15TH St
Laramie, WY 82072-2343
Mailing address
1277 N 15TH St
Laramie, WY 82072-2343
Phone (307) 742-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312367 | Other | WY | BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134 | WY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1558347336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 N 15TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722343",
"telephone_number": "307-742-6222",
"fax_number": "307-742-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 N 15TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722343",
"telephone_number": "307-745-8915",
"fax_number": "307-745-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEN",
"first_name": "GARY",
"middle_name": "R",
"credential": "MSW, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "1134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "312367",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.