NPIMap

Organization Active NPI

Family and Personal Counseling Center, LLC

  • Mental Health Counselor
  • Sheridan, WY
National Provider Identifier
1912251489
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY AND PERSONAL COUNSELING CENTER, LLC
Practice address
40 S Main St
Sheridan, WY 82801-4222
Phone
(307) 672-6789
Fax
(307) 672-6789
NPI assigned
Nov 5, 2012
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynn Euvoynne Gordon, MS, LPC, NCCNPI 1063544302
Title
Director
Phone
(307) 672-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

40 S Main St
Sheridan, WY 82801-4222

Mailing address

PO Box 6484
Sheridan, WY 82801-1884
Phone (307) 672-6789

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1912251489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6484",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011884",
            "telephone_number": "307-672-6789",
            "fax_number": "307-672-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014222",
            "telephone_number": "307-672-6789",
            "fax_number": "307-672-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND PERSONAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "EUVOYNNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-672-6789",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.