Active NPI
Martin L Hardsocg, MA, NCC, PC
- Mental Health Counselor
- Cheyenne, WY
National Provider Identifier
1902863996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-166 LAT-142
- Practice address
- 200 W 17TH St
Suite 20
Cheyenne, WY 82001-4434 - Phone
- (307) 637-5808
- NPI assigned
- Apr 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-166 LAT-142 | WY | Primary |
Addresses
Primary practice location
200 W 17TH St
Suite 20
Cheyenne, WY 82001-4434
Mailing address
PO Box 2417
Cheyenne, WY 82003-2417
Phone (307) 638-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311832 | Other | WY | BLUE CROSS BLUE SHIELD |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-166 LAT-142 | WY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902863996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2417",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820032417",
"telephone_number": "307-638-0300",
"fax_number": "307-638-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 17TH ST",
"address_2": "SUITE 20",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014434",
"telephone_number": "307-637-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDSOCG",
"first_name": "MARTIN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MA, NCC, PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "LPC-166 LAT-142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "311832",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.