Jennifer Marie Gogol, MS, LPC
Individual provider Active NPI Professional Counselor · Afton, WY
NPI 1598043226 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1598043226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1493 (WY)
- Practice address
- 389 Adams Street
Afton, WY 83110-0000 - Phone
- (307) 885-9223
- Fax
- (307) 885-5206
- NPI assigned
- Jul 29, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1493 | WY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1493 | WY | Yes |
Addresses
Primary practice location
389 Adams Street
Afton, WY 83110-0000
Mailing address
PO Box 376
Afton, WY 83110-0376
Phone (307) 885-9883
Other providers in Afton, WY
- Brady Esplin
- Jackson Riley Fitzgerald
- Kristin Foreman
- Gabrielle Fritze
- Donna R Givens
- David Manuel Gonzalez
- Jonah Jess Green
- Scott Edward Griffith
- Thane Z Grover
- Colter Jess Haderlie
All providers in Afton, WY · Professional 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 Feb 3, 2016. 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.