Susan D Adolph, LPC

Individual provider Active NPI Mental Health Counselor · Burns, WY

NPI 1649388752 · NPPES record last updated Sep 10, 2026

Key facts

NPI
1649388752
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LPC-907 (WY)
Practice address
3953 Antelope Meadows Dr
Burns, WY 82053-9130
Phone
(307) 286-3909
NPI assigned
Aug 28, 2006
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

State licenses

LicenseStateTypeSpecialty
3340COMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-907 WY Yes
Mental Health Counselor 101YM0800X 4561 NE
Mental Health Counselor 101YM0800X 0003340 CO

Addresses

Primary practice location

3953 Antelope Meadows Dr
Burns, WY 82053-9130

Mailing address

3953 Antelope Meadows Dr
Burns, WY 82053-9130
Phone (307) 286-3909

Other names

  • Susan D. McMahon Former name

Other providers in Burns, WY

All providers in Burns, WY · Mental Health Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.