Active NPI
Jamie S Hurich, PPC
- Professional Counselor
- Gillette, WY
National Provider Identifier
1982767679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PPC 304
- Practice address
- 501 S. Burma Avenue
Gillette, WY 82717-3011 - Phone
- (307) 688-5000
- Fax
- (307) 688-5015
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PPC 304 | WY | Primary |
Addresses
Primary practice location
501 S. Burma Avenue
Gillette, WY 82717-3011
Mailing address
523 Overdale
Gillette, WY 82718
Phone (307) 688-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 19, 2024 through Nov 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC 304 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Connections, LLC | Past | Accepting new patients | |
| Adonai Mental Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Gillette, WY
- NPI 1689979361
-
- Adult Mental Health Clinic/Center
- Gillette, WY
- NPI 1366878977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982767679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 OVERDALE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "82718",
"telephone_number": "307-688-5000",
"fax_number": "307-688-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S. BURMA AVENUE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827173011",
"telephone_number": "307-688-5000",
"fax_number": "307-688-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURICH",
"first_name": "JAMIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "PPC 304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.