Dana Jacoby, CAP 202
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casper, WY
NPI 1861082166 · NPPES record last updated Dec 1, 2023
Key facts
- NPI
- 1861082166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAP-202 (WY)
- Practice address
- 1440 Wilkins Cir
Casper, WY 82601-1336 - Phone
- (307) 237-9583
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAP-202 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| CAPA-073 | WY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natrona County Behavioral Health | Past |
Accepting new patients | |
| Central Wyoming Counseling Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP-202 | WY | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAPA-073 | WY |
Addresses
Primary practice location
1440 Wilkins Cir
Casper, WY 82601-1336
Mailing address
231 S Wilson St
Casper, WY 82601-2941
Phone (307) 265-3791
Other providers in Casper, WY
- Juliann Jaber
- April Dawn Jacka
- Lauren Jackson
- Tanaya Moon Jackson
- Jayne Esther Jacobs
- Mary Sue Jacques
- James a Knott MD PC
- James F Hoag DDS PC
- Janet Hoyt, LLC
- Lori M Janosek
All providers in Casper, WY · Addiction (Substance Use Disorder) Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.