Elijahben Jasso, LCPC, NCC

Individual provider Active NPI Mental Health Counselor · Lovell, WY

NPI 1902615313 · NPPES record last updated Jul 3, 2026

Key facts

NPI
1902615313
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
BBH-LCPC-LIC-89881 (MT)
Practice address
52 E 5TH St
Lovell, WY 82431-1902
Phone
(307) 272-7042
NPI assigned
Jan 1, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-55503MTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-89881 MT Yes

Addresses

Primary practice location

52 E 5TH St
Lovell, WY 82431-1902

Mailing address

52 E 5TH St
Lovell, WY 82431-1902

Other providers in Lovell, WY

All providers in Lovell, WY · Mental Health Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.