Wyoming Center for Clinical Excellence

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WYOMING CENTER FOR CLINICAL EXCELLENCE

Doing business as

Wyoming Center for Clinical Excellence

Practice address

2001 W Lakeway Rd Ste D
Gillette, WY 82718-5774

Phone

(307) 257-2610

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Brian J. Edwards, LMFT

Title

Co-Founder / Psychotherapist

Phone

(307) 299-5003

Specialties & licenses 1

Addresses

Other names 1

• Wyoming Center for Clinical Excellence Doing business as

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1801429287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W LAKEWAY RD STE D",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185774",
            "telephone_number": "307-257-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W LAKEWAY RD STE D",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185774",
            "telephone_number": "307-257-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING CENTER FOR CLINICAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CO-FOUNDER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "307-299-5003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Center for Clinical Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Gillette, WY
• Providers in Gillette, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.