Active NPI
Shelly A Foster, MA, LPC
- Counselor
- Cheyenne, WY
National Provider Identifier
1760480875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 275
- Practice address
- 1520 Logan Ave Ste 3
Cheyenne, WY 82001-5138 - Phone
- (970) 817-3426
- Fax
- (307) 514-9445
- NPI assigned
- Jul 12, 2005
- Last updated
- Nov 25, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 275 | WY | Primary |
Addresses
Primary practice location
1520 Logan Ave Ste 3
Cheyenne, WY 82001-5138
Mailing address
1520 Logan Ave Ste 3
Cheyenne, WY 82001-5138
Phone (970) 817-3426
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130755000 | Medicaid | WY | |
| 311228 | Other | WY | BS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1520 Logan Ave
Cheyenne, WY 82001-5138
Phone (970) 225-1581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275 | WY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelly Foster Counseling, LLC | Current | Accepting new patients | |
| Lifesong Counseling LLC | Current | Accepting new patients |
Locations
1520 Logan Ave
Cheyenne, WY 82001
Phone (970) 225-1581
1520 Logan Ave
Ste 3
Cheyenne, WY 82001
Phone (307) 287-7169
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Cheyenne, WY
- NPI 1982031555
-
- Professional Counselor
- Fort Collins, CO
- NPI 1194684530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543104000000",
"number": "1760480875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 LOGAN AVE STE 3",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015138",
"telephone_number": "970-817-3426",
"fax_number": "307-638-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 LOGAN AVE STE 3",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015138",
"telephone_number": "970-817-3426",
"fax_number": "307-514-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "SHELLY",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2018-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130755000",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "311228",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.