Lisa Otto

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

983 Issued in WY

Practice address

1607 Capitol Ave FL The2
Cheyenne, WY 82001

Phone

(307) 630-4729

Fax

(307) 632-3298

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Lisa Otto, LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laramie, WY
  • NPI 1356923627

  Single Specialty

  Medicare reassignment NPD Authorized official
• Liv in-Home Counseling & Care Management, LLC

  • Primary Care Clinic/Center
  • Cheyenne, WY
  • NPI 1740604057

  Clinical

  Medicare reassignment NPD
• Tessa Matzen, LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laramie, WY
  • NPI 1891377164

  Single Specialty

  NPD

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1851707574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820730982",
            "telephone_number": "307-630-4729",
            "fax_number": "307-632-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CAPITOL AVE FL THE2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "307-630-4729",
            "fax_number": "307-632-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PCSW-583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-983",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH PROFESSIONS LICENSING BOARD",
            "identifier": "PCSW-583",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCSW-983",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ostrom, RN
• Brenda Mae Oswald
• Kurtsy Oswald, DO
• Eric Donald Ottenbacher, PA
• Ellie Ottman, PT, DPT
• Outside Therapy LLC
• Ovella Health LLC
• Heidi Marie Overall-Block, M.A. - L.M.F.T.
• Andrew Overstreet, DPT
• Cheradyn Owen, BSW

• Mental Health Counselor in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.