Active NPI
Bruce L Andrews, MS
- Mental Health Counselor
- Sheridan, WY
National Provider Identifier
1730104480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-159
- Practice address
- 1842 Sugarland Dr
Suite 103
Sheridan, WY 82801-5775 - Phone
- (307) 673-4960
- Fax
- (307) 673-4951
- NPI assigned
- Jul 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-159 | WY | Primary |
Addresses
Primary practice location
1842 Sugarland Dr
Suite 103
Sheridan, WY 82801-5775
Mailing address
1842 Sugarland Dr
Suite 103
Sheridan, WY 82801-5775
Phone (307) 673-4960
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-159 | WY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730104480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 SUGARLAND DR",
"address_2": "SUITE 103",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015775",
"telephone_number": "307-673-4960",
"fax_number": "307-673-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 SUGARLAND DR",
"address_2": "SUITE 103",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015775",
"telephone_number": "307-673-4960",
"fax_number": "307-673-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "BRUCE",
"middle_name": "L",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "LPC-159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.