Casey L Wyman, M.S., LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00672 Issued in MN

Practice address

118 Avenue C
Cloquet, MN 55720-1546

Phone

(218) 878-9352

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Compass Rose Counseling and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cloquet, MN
  • NPI 1962143974
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1568892644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201546",
            "telephone_number": "218-341-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201546",
            "telephone_number": "218-878-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "CASEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-01-25",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC00672",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woods and Water Family Dental PLLC
• Jessica Woodward Lavan, MD
• Heather Lea Wright, MSW LGSW
• Nicholas Paul Wright
• Sherri Rae Wuollet, LADC, LSW
• Katie Marie Yankowiak, PT
• James Leonard Youngman, MA, LP
• Victoria Diane Zupancich, MSW, LICSW

• Professional Counselor in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.