Individual provider Active NPI

Dorthy Baker Kister, MSW

  • Mental Health Counselor
  • Lovell, WY
National Provider Identifier
1790942357
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW #216 Issued in WY
Practice address
1114 Lane 12
Lovell, WY 82431-9555
Phone
(307) 548-6543
Fax
(307) 548-6565
NPI assigned
May 21, 2008
Last updated
Apr 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW #216 WY Primary

Addresses

Primary practice location

1114 Lane 12
Lovell, WY 82431-9555

Mailing address

1114 Lane 12
Lovell, WY 82431-9555
Phone (307) 548-6543

Other names 1

  • Ms. Dorthy Ellen Baker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW #216WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Peak Counseling Center CurrentSince Sep 1, 2024 Accepting new patients

Locations

2538 Big Horn Ave
Cody, WY 82414
Phone (307) 587-2197

1114 Lane 12
Lovell, WY 82431
Phone (307) 548-6543

401 S 23rd St
Worland, WY 82401
Phone (307) 347-6165

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1790942357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 LANE 12",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824319555",
            "telephone_number": "307-548-6543",
            "fax_number": "307-548-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 LANE 12",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824319555",
            "telephone_number": "307-548-6543",
            "fax_number": "307-548-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTER",
        "first_name": "DORTHY",
        "middle_name": "BAKER",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LCSW #216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORTHY",
            "last_name": "BAKER",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lovell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.