Active NPI
Michael Dale Loos, PH.D.
- Counselor
- Laramie, WY
National Provider Identifier
1699751750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NCC 48217
- Practice address
- 1724 Boswell Dr
Laramie, WY 82070-8101 - Phone
- (307) 721-4309
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NCC 48217 | WY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT 245 | WY | |
| Professional Counselor | 101YP2500X | LPC 672 | WY |
Addresses
Primary practice location
1724 Boswell Dr
Laramie, WY 82070-8101
Mailing address
1724 Boswell Dr
Laramie, WY 82070-8101
Phone (307) 721-4309
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCC 48217 | WY | MD | Counselor |
| LAT 245 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| LPC 672 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699751750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 BOSWELL DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820708101",
"telephone_number": "307-721-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 BOSWELL DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820708101",
"telephone_number": "307-721-4309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOS",
"first_name": "MICHAEL",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "NCC 48217",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "LAT 245",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC 672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.