Bonnie Jane Beckstrom, PPC-1479
Individual provider Active NPI Mental Health Counselor · Wheatland, WY
NPI 1578835518 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1578835518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1479 (WY)
- Practice address
- PO Box 472
Wheatland, WY 82201-0472 - Phone
- (307) 331-7869
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1479 | WY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 1479 | WY | Yes |
Addresses
Primary practice location
PO Box 472
Wheatland, WY 82201-0472
Mailing address
PO Box 472
Wheatland, WY 82201-0472
Phone (307) 331-7869
Other providers in Wheatland, WY
- Banner Imaging Associates of North Colorado
- Banner Medical Clinic Wheatland LLC
- Jeffrey Sean Barker
- Ty L. Battershell
- David Beauprez
- Lynette Belknap-Williams
- Bemis Pharmacy Inc
- Melissa Eve Borel
- Brant Audiology, LLC
- Kamry Bond Breazeale
All providers in Wheatland, WY · Mental Health Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.