Individual provider Active NPI

Jason D. Poot, M.S., L.P.C

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1740514405
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1169 Issued in WY
Practice address
5725 Highland Dr
Casper, WY 82609-4382
Phone
(307) 265-3977
Fax
(307) 265-3038
NPI assigned
Sep 29, 2009
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1169 WY Primary

Addresses

Primary practice location

5725 Highland Dr
Casper, WY 82609-4382

Mailing address

5725 Highland Dr
Casper, WY 82609-4382
Phone (307) 265-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212004164 WY Practitioner - Mental Health Counselor 6901255231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2241 Farnum St
Suite 102
Casper, WY 82609-4108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Place at Highland Park Community Church Past Accepting new patients
The Healing Place Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1740514405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 HIGHLAND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094382",
            "telephone_number": "307-265-3977",
            "fax_number": "307-265-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 HIGHLAND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094382",
            "telephone_number": "307-265-3977",
            "fax_number": "307-265-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOT",
        "first_name": "JASON",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.