Deanne Lederer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-2016 Issued in WY

Practice address

2161 Coffeen Ave Ste 402
Sheridan, WY 82801-5771

Phone

(307) 429-2044

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hummingbird Counseling & Play Therapy LLC

  • Mental Health Counselor
  • Sheridan, WY
  • NPI 1205685179
  NPD Authorized official
• Willow Creek Counseling Associates, LLC

  • Mental Health Counselor
  • Sheridan, WY
  • NPI 1851784003
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1831758275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 COFFEEN AVE STE 402",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015771",
            "telephone_number": "307-429-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 COFFEEN AVE STE 402",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015771",
            "telephone_number": "307-429-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERER",
        "first_name": "DEANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2016",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY MENTAL HEALTH PROFESSIONALS LICENSING BOARD",
            "identifier": "LPC-2016",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laya'S Main Street Pharmacy
• Linda Joy Layher, PT
• William T Leach, DC
• James Luke Leary, MD
• Ronald Paul Leblanc, PHARM.D.
• Amy Nicole Ledoux, P.A.C
• Ryan Christopher Legler
• Alyssa Leight, LCSW
• Leilani Ray Cullen Ma LMFT
• Kodi Leithead

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.