Tina Chick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-810 Issued in WY

Practice address

104 Stampede St
Newcastle, WY 82701-3037

Phone

(307) 746-3541

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Weston County Children's Center

  • Developmental Disabilities Clinic/Center
  • Newcastle, WY
  • NPI 1003954892
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1851543938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STAMPEDE ST",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827013037",
            "telephone_number": "307-746-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 STAMPEDE ST",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827013037",
            "telephone_number": "307-746-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "TINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-810",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC1076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambria Discount Drug LLC (Long Term Care)
• Cambria Heights LLC (Mondell Heights Retirement Community)
• Campbell County Hospital District (Newcastle Emergency Medical Services)
• Michael Lee Carpenter, PA-C
• Cedar Hills Family Clinic, P.C.
• Michael Dean Cookston, PHARMD, R.PH
• County of Weston (Weston County Public Health)
• Nathina Crabtree
• Loretta Deyo
• Debra Jean Doeksen-Gould, MA CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.