Kelsey L Mammen, PPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PPC-1190 Issued in WY

Practice address

1607 Cy Ave Ste 102
Casper, WY 82604-3571

Phone

(307) 337-4673

NPI assigned

Dec 8, 2013

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

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1851722482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 CY AVE STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043571",
            "telephone_number": "775-445-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CY AVE STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043571",
            "telephone_number": "307-337-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Granite Peak Dr Apt 207",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094529",
            "country_code": "US",
            "telephone_number": "775-445-9127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "PPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-08",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC-1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Louise Makelky
• Jack Dempsey Malone III, DO
• Paul D Malsom, PHYSICIAN ASSISTANT
• Sara E Malsom, PA-C
• Steven L. Malson, PHARMD, RPH
• Jennifer Lynn Mandros, DPT
• William Martin Manker III
• Pam Mann
• Jessica Jean Marcotte, RN
• John Robert Marquiss, MSSA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.