Active NPI
Trisha G Bannon, MS, LPC
- Professional Counselor
- Cheyenne, WY
National Provider Identifier
1992704464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-884
- Practice address
- 1725 Oxford Dr
Apt. 1
Cheyenne, WY 82001-1690 - Phone
- (307) 640-2762
- NPI assigned
- Jul 18, 2005
- 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 | LPC-884 | WY | Primary |
Addresses
Primary practice location
1725 Oxford Dr
Apt. 1
Cheyenne, WY 82001-1690
Mailing address
1725 Oxford Dr
Apt. 1
Cheyenne, WY 82001-1690
Phone (307) 640-2762
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-884 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventure Psychotherapy | Current | Accepting new patients |
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 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": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1992704464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 OXFORD DR",
"address_2": "APT. 1",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011690",
"telephone_number": "307-640-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 OXFORD DR",
"address_2": "APT. 1",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011690",
"telephone_number": "307-640-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNON",
"first_name": "TRISHA",
"middle_name": "G",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.