Active NPI
Avis L Garcia, LPC, LAT
- Counselor
- Cheyenne, WY
National Provider Identifier
1619218708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-796
- Practice address
- 2526 Seymour Ave
Cheyenne, WY 82001-3159 - Phone
- (307) 634-9653
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-1448 | WY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT-332 | WY | |
| Professional Counselor | 101YP2500X | LPC-796 | WY | |
| Counselor | 101Y00000X | LPC-796 | WY | Primary |
Addresses
Primary practice location
2526 Seymour Ave
Cheyenne, WY 82001-3159
Mailing address
510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 426-4728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAT-332 | Other | WY | STATE LICENSE |
| LPC-796 | Other | WY | STATE LICENSE |
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 |
|---|---|---|---|
| LPC-1448 | WY | MD | Counselor |
| LAT-332 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-796 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619218708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W 29TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012760",
"telephone_number": "307-426-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 SEYMOUR AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013159",
"telephone_number": "307-634-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "AVIS",
"middle_name": "L",
"credential": "LPC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LPC-1448",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "LAT-332",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-796",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LPC-796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LAT-332",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LPC-796",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.