Angela Brown, LPC, MS

Individual provider Active NPI Professional Counselor · Casper, WY

NPI 1760812697 · NPPES record last updated Nov 9, 2023

Key facts

NPI
1760812697
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC1498 (WY)
Practice address
5000 Blackmore Rd
Casper, WY 82609-3345
Phone
(307) 233-6000
Fax
(307) 233-6089
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Central Wyoming Inc (27 clinicians)

Practice addresses (Care Compare)

5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240105000949 WY Practitioner - Mental Health Counselor 7517322787 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC1498WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Central Wyoming Inc Current
since Jan 1, 2024
Accepting new patients
Community Health Center of Central Wyoming, Inc. Current Accepting new patients

Locations

5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC1498 WY Yes

Addresses

Primary practice location

5000 Blackmore Rd
Casper, WY 82609-3345

Mailing address

5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000

Other providers in Casper, WY

All providers in Casper, WY · Professional Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.