Active NPI
Justin Dean McColl, LPC
- Counselor
- Cody, WY
National Provider Identifier
1992008841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 93114
- Practice address
- 2221 Cougar Ave
Cody, WY 82414-5442 - Phone
- (307) 213-4341
- NPI assigned
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 93114 | TX | Primary |
Addresses
Primary practice location
2221 Cougar Ave
Cody, WY 82414-5442
Mailing address
2221 Cougar Ave
Cody, WY 82414-5442
Phone (307) 213-4341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93114 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veritatis Splendor Inc. | Professional | Current | Accepting new patients |
| Trinity Teen Solutions, Inc | Past | Accepting new patients | |
| Heavens Peak Behavioral Health Services, Ins | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1992008841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 COUGAR AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824145442",
"telephone_number": "307-213-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 COUGAR AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824145442",
"telephone_number": "307-213-4341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLL",
"first_name": "JUSTIN",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-15",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "93114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.