Mark Schledewitz
Individual provider Active NPI Mental Health Counselor · Cody, WY
NPI 1629433412 · NPPES record last updated Dec 21, 2015
Key facts
- NPI
- 1629433412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PCSW-618 (WY)
- Practice address
- 2803 Lincoln Ave
Cody, WY 82414-9813 - Phone
- (307) 202-3452
- NPI assigned
- Dec 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
956 12TH St
Cody, WY 82414-3602
Phone (307) 202-3452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180208001286 | WY | Practitioner - Clinical Social Worker | 3072873272 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-618 | WY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Counseling LLC | Current |
Accepting new patients |
Locations
1735 Sheridan Ave
Ste 221
Cody, WY 82414
Phone (307) 202-3452
956 12th St
Cody, WY 82414
Phone (307) 355-9266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCSW-618 | WY | Yes |
Addresses
Primary practice location
2803 Lincoln Ave
Cody, WY 82414-9813
Mailing address
2803 Lincoln Ave
Cody, WY 82414-9813
Phone (307) 202-3452
Other providers in Cody, WY
- Danielle Marie Sankey
- Nanette Santos
- Christopher E Saville
- Edith Esther Saville
- Margaret Ann Schauland
- Catherine C Schmidt
- Frank H Schmidt
- Bernadette Pia Schmitt
- Tanya Dawn Schnell
- Sarah Schrickling
All providers in Cody, 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 Dec 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.