Individual provider Active NPI

Frank Shablo

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1578101291
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1824 Issued in WY
Practice address
815 S Center St
Casper, WY 82601-3730
Phone
(307) 333-1301
Fax
(307) 333-5436
NPI assigned
Dec 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1824 WY Primary

Addresses

Primary practice location

815 S Center St
Casper, WY 82601-3730

Mailing address

636 S Jackson St
Casper, WY 82601-3410
Phone (307) 702-1812

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

LicenseStateTypeSpecialty
LPC-1824WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Child and Family Counseling Professional CurrentSince Mar 22, 2020 Accepting new patients

Locations

815 S Center St
Casper, WY 82601
Phone (307) 333-1301

800 Werner Ct
Ste 200
Casper, WY 82601
Phone (307) 333-1301

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1578101291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S JACKSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013410",
            "telephone_number": "307-702-1812",
            "fax_number": "307-333-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CENTER ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013730",
            "telephone_number": "307-333-1301",
            "fax_number": "307-333-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABLO",
        "first_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1824",
            "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 Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.