Laramie Family Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LARAMIE FAMILY COUNSELING LLC

Practice address

2020 E Grand Ave Ste 410
Laramie, WY 82070-4380

Phone

(307) 760-6889

NPI assigned

Jul 26, 2023

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dystaney Nordberg, LPCNPI 1801106141

Title

Owner/Director

Phone

(307) 760-6889

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Dystaney Nordberg, LPC

  • Professional Counselor
  • Laramie, WY
  • NPI 1801106141
  NPD Authorized official
• Brittany Kirchhoefer, PPC

  • Mental Health Counselor
  • Laramie, WY
  • NPI 1811561483
  NPD (past)
• Brandon H Funk, LPC

  • Mental Health Counselor
  • Dallastown, PA
  • NPI 1346175700
  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1740961358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E GRAND AVE STE 410",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E GRAND AVE STE 410",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704380",
            "telephone_number": "307-760-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAMIE FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "NORDBERG",
        "authorized_official_first_name": "DYSTANEY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "307-760-6889",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.