Carly Lee, LMFT
Individual provider Active NPI Marriage & Family Therapist · Cheyenne, WY
NPI 1992076152 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1992076152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 165 (WY)
- Practice address
- 2315 Dunn Ave
Cheyenne, WY 82001-3214 - Phone
- (307) 630-7085
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2315 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 630-7085
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104001727 | WY | Practitioner - Marriage and Family Therapist | 6103277181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991 | CO | MD | Marriage & Family Therapist |
| 165 | WY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Insights Counseling LLC | Current |
Accepting new patients |
Locations
2315 Dunn Ave
Cheyenne, WY 82001
Phone (307) 287-6206
1001 W 31st St
Cheyenne, WY 82001
Phone (307) 634-6883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 165 | WY | Yes |
| Marriage & Family Therapist | 106H00000X | 991 | CO |
Addresses
Primary practice location
2315 Dunn Ave
Cheyenne, WY 82001-3214
Mailing address
2315 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 630-7085
Other providers in Cheyenne, WY
- Rachel Maria Lawson
- Kelly Layland
- Stacey Leach
- Jesse Leaf
- Ronald Lebeaumont
- Ronda Lee
- May Katharine Collins Lehman
- Dean J Lehmkuhler
- Kristy Lou Leier
- Candise Wells Leininger
All providers in Cheyenne, WY · Marriage & Family Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.