Courtney Camino, LPC, NCSP,
Individual provider Active NPI School Psychologist · Douglas, WY
NPI 1972240398 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1972240398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 25942 (WY)
- Practice address
- 615 Hamilton St
Douglas, WY 82633-2615 - Phone
- (307) 358-6187
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1121 | WY | MD | Mental Health Counselor |
| 25942 | WY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Converse County School District #1 | Current |
Accepting new patients |
Locations
615 Hamilton St
Douglas, WY 82633
Phone (307) 358-2942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-1121 | WY | |
| School Psychologist | 103TS0200X | 25942 | WY | Yes |
Addresses
Primary practice location
615 Hamilton St
Douglas, WY 82633-2615
Mailing address
615 Hamilton St
Douglas, WY 82633-2615
Phone (307) 358-6187
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25942 | Other | WY | PROFESSIONAL TEACHING STANDARDS BOARD |
| LPC-1121 | Other | WY | MENTAL HEALTH PROFESSIONS LICENSING BOARD |
Other providers in Douglas, WY
- Jason D Budd
- Benjamin Buhl
- Melissa Renee Bulkley
- Elisabeth Butts
- Jamie Alison Byerly
- Mark Steven Campbell
- Susan Rae Cannon
- Craig S Capron
- Dawn Michelle Cardinal
- Caring Connections, LLC
All providers in Douglas, WY · School Psychologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.