Active NPI
Sarah Brino
- Counselor
- Jackson, WY
National Provider Identifier
1922337369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1045
- Practice address
- 420 W Pearl Ave
Jackson, WY 83001 - Phone
- (307) 733-4088
- NPI assigned
- Dec 14, 2009
- Last updated
- Mar 29, 2012
- 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 | 1045 | WY | Primary |
Addresses
Primary practice location
420 W Pearl Ave
Jackson, WY 83001
Mailing address
PO Box 9494
Jackson, WY 83002-9494
Phone (307) 733-4088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 12, 2025 through Feb 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1922337369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9494",
"city": "JACKSON",
"state": "WY",
"postal_code": "830029494",
"telephone_number": "307-733-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W PEARL AVE",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-733-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINO",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "1045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.