MR. BRET B MCCOY (NPI# 1184262552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184262552 |
Entity Type | Individual |
Full Name | MR. BRET B MCCOY |
Practice Address |
190 Overthrust Road Evanston WY 82930 |
Practice Telephone | 3077894224 |
Practice Fax Number | 3077894225 |
Mailing Telephone | 3077894224 |
Mailing Fax Number | 3077894225 |
Enumeration Date | 2019-12-17 |
Last Update Date | 2019-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
190 OVERTHRUST ROAD |
City | EVANSTON |
State | WY |
Zip Code | 82930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
1891314514 | Devin Short | Community Health Worker | 190 Overthrust Road, Evanston, WY 82930 | 2020-04-13 |
1821627670 | Yennhi Hoang | Counselor | 190 Overthrust Road, Evanston, WY 82930 | 2020-04-03 |
1134598774 | Desiree Workman | Community Health Worker | 190 Overthrust Road, Evanston, WY 82930 | 2015-09-24 |
1154740611 | Douglas Cottreu Knighton | Case Manager/Care Coordinator | 190 Overthrust Road, Evanston, WY 82930 | 2014-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
1568766889 | Tiffany Lynn Pieger | Massage Therapist | 116 10th Street, Evanston, WY 82930 | 2010-12-29 |
Find all providers in zip 82930 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548873813 | Elizabeth Maureen Wickstrom | Counselor | 2013 Jackson Ave Apt 1, Evanston, IL 60201-6603 | 2020-08-26 |
1861032385 | Amy J Graham | Counselor | 622 Davis St Ste 200, Evanston, IL 60201-4491 | 2020-01-13 |
1700431491 | Ume Abi Saleem | Counselor | 2100 Ridge Ave # G320, Evanston, IL 60201-2716 | 2019-08-08 |
1598324766 | Lauren Claire Bajek | Counselor | 636 Church St Ste 301, Evanston, IL 60201-6030 | 2019-06-11 |
1831655737 | Shalini Lulla LLC | Counselor | 1830 Sherman Ave Ste 307, Evanston, IL 60201-3773 | 2019-02-15 |
1619440831 | Amar Vijay Dave | Counselor | 1509 Ridge Ave, Evanston, IL 60201-4135 | 2019-01-10 |
1558848242 | Joanne Barbara Lagattolla | Counselor | 990 Grove St # 303, Evanston, IL 60201-6510 | 2018-07-25 |
1205326303 | Insideout Living Inc II | Counselor | 1618 Orrington Ave Ste 311, Evanston, IL 60201-5016 | 2018-05-14 |
1881181121 | Liliana Cardona | Counselor | 2005 Emerson St, Evanston, IL 60201-3305 | 2018-04-20 |
1316466568 | Angela Mclean | Counselor | 2645 Asbury Ave, Evanston, IL 60201-1605 | 2017-09-19 |
Find all providers in EVANSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.