ASHLEE MICKELSON LLC (NPI# 1316458540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316458540 |
| Entity Type | Organization |
| Organization Name | ASHLEE MICKELSON LLC |
| Practice Address |
504 S 4th St Laramie WY 82070-3704 |
| Mailing Address |
610 S 5th St Laramie WY 82070-3720 |
| Practice Telephone | 3077551000 |
| Mailing Telephone | 3072723515 |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2017-10-15 |
| Authorized Official Name | ASHLEE MICKELSON (OWNER/THERAPIST) |
| Authorized Official Telephone | 3072723515 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LCSW-820 | WY | Ambulatory Health Care Facilities |
| Street Address |
504 S 4TH ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774377 | Family Focus LLC | Case Manager/Care Coordinator | 504 S 4th St, Laramie, WY 82070-3704 | 2019-01-18 |
| 1700331899 | Family Focus | Day Training, Developmentally Disabled Services | 504 S 4th St, Laramie, WY 82070-3704 | 2016-08-18 |
| 1306296595 | Jenna Lee Hotovec | Counselor | 504 S 4th St, Laramie, WY 82070-3704 | 2016-06-17 |
| 1396147070 | Roberta Harper-mcintosh | Counselor | 504 S 4th St, Laramie, WY 82070-3704 | 2014-09-24 |
| 1699189795 | Andrew Felton | Counselor | 504 S 4th St, Laramie, WY 82070-3704 | 2014-06-17 |
| 1194153361 | Uhs of Wyoming Inc | Clinic/Center | 504 S 4th St, Laramie, WY 82070-3704 | 2013-10-24 |
| 1497195044 | Claire B Murphy | Counselor | 504 S 4th St, Laramie, WY 82070-3704 | 2013-06-27 |
| 1316281512 | Lainiel Johnson | Day Training, Developmentally Disabled Services | 504 S 4th St, Laramie, WY 82070-3704 | 2012-11-12 |
| 1427331123 | Bryon Lee | Counselor | 504 S 4th St, Laramie, WY 82070-3704 | 2011-09-20 |
| 1093005803 | The Clinic for Mental Health & Wellness | Counselor | 504 S 4th St, Laramie, WY 82070-3704 | 2011-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153361 | Uhs of Wyoming Inc | Clinic/Center | 504 S 4th St, Laramie, WY 82070-3704 | 2013-10-24 |
| 1861521866 | Peak Wellness Center, Inc | Clinic/Center | 1263 N 15th St, Laramie, WY 82072-2343 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103127 | Lupine Mental Health and Integrative Psychiatry LLC | Clinic/Center | 125 E Pearl Ave Ste 207, Jackson, WY 83001-8599 | 2020-08-02 |
| 1679199897 | Wyoming Trauma Treatment Center | Clinic/Center | 800 Werner Ct Ste 258, Casper, WY 82601-1324 | 2020-06-23 |
| 1225693872 | Himes Counseling LLC | Clinic/Center | 113 S Gillette Ave Ste 215, Gillette, WY 82716-3741 | 2019-05-08 |
| 1528538931 | Whole Life Counseling LLC | Clinic/Center | 1800 W 4j Rd, Gillette, WY 82718-9109 | 2018-11-28 |
| 1295211787 | Nicole Rue, Psy.d., LLC | Clinic/Center | 1115 Maple Way Ste D, Jackson, WY 83001-8567 | 2018-07-17 |
| 1619465838 | Elevate Counseling | Clinic/Center | 116 5th St Ste 8, Rawlins, WY 82301-5632 | 2018-04-23 |
| 1649795907 | Cowboy Psychological Services PC | Clinic/Center | 1123 Big Horn Ave Ste A, Worland, WY 82401-2814 | 2017-08-08 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1245605344 | Magellan Healthcare | Clinic/Center | 8035 W Chalk Creek Rd, Casper, WY 82604-1744 | 2015-12-01 |
| 1700258514 | Peaceful Minds, LLC | Clinic/Center | 1300 E A St Ste 101, Casper, WY 82601-2211 | 2015-10-20 |
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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.