Active NPI
Michelle Aneiros Worden, NCC LPC 1027
- Professional Counselor
- Laramie, WY
National Provider Identifier
1720100613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1027
- Practice address
- 217 S 1St Street
Laramie, WY 82070 - Phone
- (307) 742-9390
- Fax
- (307) 742-9717
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1027 | WY | Primary |
Addresses
Primary practice location
217 S 1St Street
Laramie, WY 82070
Mailing address
217 S 1St Street
Laramie, WY 82070
Phone (307) 742-9390
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 |
|---|---|---|---|
| 1027 | WY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1720100613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 S 1ST STREET",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-9390",
"fax_number": "307-742-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 S 1ST STREET",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-9390",
"fax_number": "307-742-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORDEN",
"first_name": "MICHELLE",
"middle_name": "ANEIROS",
"name_prefix": "Mrs.",
"credential": "NCC LPC 1027",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "1027",
"primary": true
}
],
"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 Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.