Active NPI
Diana Pauline Quealy-Berge, PH.D. WY LPC
- Counselor
- Casper, WY
National Provider Identifier
1902191638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- WY LPC 386
- Practice address
- 3920 Swingle
Casper, WY 82604 - Phone
- (307) 315-2536
- NPI assigned
- Jun 10, 2011
- Last updated
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | WY LPC 386 | WY | Primary |
Addresses
Primary practice location
3920 Swingle
Casper, WY 82604
Mailing address
PO Box 235
Casper, WY 82602-0235
Phone (307) 277-6462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WY LPC 386 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1902191638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "CASPER",
"state": "WY",
"postal_code": "826020235",
"telephone_number": "307-277-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 SWINGLE",
"city": "CASPER",
"state": "WY",
"postal_code": "82604",
"telephone_number": "307-315-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEALY-BERGE",
"first_name": "DIANA",
"middle_name": "PAULINE",
"credential": "PH.D. WY LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "WY LPC 386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.