Individual provider Active NPI

Dawn Rose Lewis, M.S., LPC

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1982742607
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1175 Issued in WY
Practice address
2241 Farnum St Ste 102
Casper, WY 82609-4108
Phone
(307) 262-3309
Fax
(307) 333-0335
NPI assigned
Feb 2, 2007
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1175 WY Primary

Addresses

Primary practice location

2241 Farnum St Ste 102
Casper, WY 82609-4108

Mailing address

2241 Farnum St Ste 102
Casper, WY 82609-4108
Phone (307) 262-3309

Other practice location 1

141 S Center St Ste 306
Casper, WY 82601-2543
Phone (307) 262-3309

Other practice location 2

940 E 3rd St
Suite 212
Casper, WY 82601-3237
Phone (307) 577-3050

Other identifiers 1

IdentifierTypeStateIssuer
LPC-1175OtherWYWYOMING MENTAL HEALTH LICENSING BOARD

Other names 1

  • Ms. Dawn Rose Fultz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304003734 WY Practitioner - Mental Health Counselor 6305281080 Receives reassigned benefits from 3 practitioners
Practice locations: Casper, WY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2241 Farnum St
Suite 102
Casper, WY 82609-4108
Phone (307) 262-3309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-1175WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Mental Health, LLC Professional CurrentSince Mar 1, 2022 Accepting new patients

Locations

141 S Center St
Ste 306
Casper, WY 82601
Phone (307) 262-3309

2241 Farnum St
Ste 102
Casper, WY 82609
Phone (307) 262-3309

Practitioners & affiliated clinicians

Practitioners 3

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.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1982742607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 FARNUM ST STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094108",
            "telephone_number": "307-262-3309",
            "fax_number": "307-333-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 FARNUM ST STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094108",
            "telephone_number": "307-262-3309",
            "fax_number": "307-333-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 S Center St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012543",
            "country_code": "US",
            "telephone_number": "307-262-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 E 3rd St",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013237",
            "country_code": "US",
            "telephone_number": "307-577-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAWN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MENTAL HEALTH LICENSING BOARD",
            "identifier": "LPC-1175",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "FULTZ",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.