NPIMap

Organization Active NPI

Wyoming Art Therapy and Medical Counseling

  • Professional Counselor
  • Laramie, WY
National Provider Identifier
1780019240
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1049 Issued in WY
Legal business name
WYOMING ART THERAPY AND MEDICAL COUNSELING
Practice address
920 E Sheridan St
Suite B
Laramie, WY 82070-3868
Phone
(307) 760-6125
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Ms. Andrea A. Berry, MHR, ATR-BC, LPC, NC
Title
Owner/Practitioner
Phone
(307) 760-6125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1049 WY Primary

Addresses

Primary practice location

920 E Sheridan St
Suite B
Laramie, WY 82070-3868

Mailing address

920 E Sheridan St
Suite B
Laramie, WY 82070-3868
Phone (307) 760-6125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1780019240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E SHERIDAN ST",
            "address_2": "SUITE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703868",
            "telephone_number": "307-760-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E SHERIDAN ST",
            "address_2": "SUITE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703868",
            "telephone_number": "307-760-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING ART THERAPY AND MEDICAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "307-760-6125",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHR, ATR-BC, LPC, NC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.