Organization Active NPI

Mefford LLC

  • Professional Counselor
  • Gillette, WY
National Provider Identifier
1689551178
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MEFFORD LLC
Practice address
100 Warren Ave
Gillette, WY 82716-3728
Phone
(307) 680-1057
Fax
(307) 682-2968
NPI assigned
Aug 18, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trisha A Kleiboeker
Title
Office Manager
Phone
(307) 682-2034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

100 Warren Ave
Gillette, WY 82716-3728

Mailing address

4300 Tate CT
Gillette, WY 82718-4180
Phone (307) 680-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918002002 WY Part B Supplier - Clinic/Group Practice 1254835622 Receives reassigned benefits from 1 practitioner
Practice locations: Gillette, WY

National Provider Directory

National Provider Directory

Locations

100 Warren Ave
Gillette, WY 82716
Phone (307) 680-1057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1689551178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TATE CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827184180",
            "telephone_number": "307-680-1057",
            "fax_number": "307-682-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARREN AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163728",
            "telephone_number": "307-680-1057",
            "fax_number": "307-682-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEFFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "KLEIBOEKER",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-682-2034"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.