Individual provider Active NPI

Teresa Klatka

  • Professional Counselor
  • Laramie, WY
National Provider Identifier
1780116368
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4989 N 3Rd St
Laramie, WY 82072-9548
Phone
(307) 745-8997
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC1483 WY
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4989 N 3Rd St
Laramie, WY 82072-9548

Mailing address

4989 N 3Rd St
Laramie, WY 82072-9548
Phone (307) 745-8997

Other practice location 1

2001 Dewar Dr
Suite 270
Rock Springs, WY 82901-5773
Phone (307) 382-3058

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
I20250217002939 WY Practitioner - Mental Health Counselor 8820518145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Minneapolis College of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gill Counseling ServicesGroup PAC ID 4082087283, 3 clinicians

Practice addresses (Care Compare)

107 S 5TH St
Laramie, WY 82070-3123
Phone (307) 399-0329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC1483WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gill Counseling Services CurrentSince Dec 14, 2024 Accepting new patients
Better Solutions Counseling Center, Inc. Mental Health Past Accepting new patients

Locations

107 S 5th St
Laramie, WY 82070
Phone (307) 399-0329

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1780116368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820729548",
            "telephone_number": "307-745-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820729548",
            "telephone_number": "307-745-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Dewar Dr",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015773",
            "country_code": "US",
            "telephone_number": "307-382-3058",
            "fax_number": "307-382-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLATKA",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC1483",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.