CHARLES JOSEPH CORDOVA (NPI# 1073978920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073978920 |
| Entity Type | Individual |
| Full Name | CHARLES JOSEPH CORDOVA |
| Credential | LPC |
| Practice Address |
730 Montana Ave Lovell WY 82431-1810 |
| Practice Telephone | 3072728798 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-1534 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801084678 | Charles Cordova Jr. | Dentist | 2399 Wingfield Hills Rd Ste 130, Sparks, NV 89436-7208 | 2007-10-05 |
| 1891864591 | Charles Richard Cordova | Dentist | 3714 Great Land St, Homer, AK 99603 | 2006-11-07 |
| 1578095329 | Charles Cordova | Counselor | 248 W 108th St, The Bridge 5th Fl Clinic, New York, NY 10025-2956 | 2017-03-31 |
| Street Address |
730 MONTANA AVE |
| City | LOVELL |
| State | WY |
| Zip Code | 82431-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655580 | Lovell Dental | Dentist | 240 E Main St, Lovell, WY 82431 | 2018-10-19 |
| 1912266008 | North Big Horn Hospital Pharmacy | General Acute Care Hospital | 1115 Lane 12, Lovell, WY 82431 | 2012-05-09 |
| 1417175381 | Oliver Herbert Mitchell | Chiropractor | 203 Park Ave, Lovell, WY 82431-1622 | 2007-04-23 |
| 1972849537 | Bonnie White | Case Manager/Care Coordinator | 50 W 2nd St Lot 12, Lovell, WY 82431-1701 | 2012-12-28 |
| 1477911766 | Mindy Mickelson | Rehabilitation Counselor | 33 W Main St, Lovell, WY 82431-1714 | 2016-02-02 |
| 1023467024 | Welch Family Dentistry | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2016-06-09 |
| 1396975181 | James G Christiansen | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2009-07-15 |
| 1356495543 | Scott Peterson Welch | Dentist | 84 Park Ave, Lovell, WY 82431-1719 | 2007-01-23 |
| 1124365713 | Chad Collins Emmett | Pharmacist | 109 E 8th St, Lovell, WY 82431-1806 | 2013-01-16 |
| 1134587306 | Connections Counseling Inc | Counselor | 100 W 10th St, Lovell, WY 82431-1863 | 2016-02-03 |
| Find all providers in zip 82431 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306322524 | Brio & Balance LLC | Counselor | 440 Nevada Ave, Lovell, WY 82431-1916 | 2018-07-11 |
| 1548517832 | Theresa Woodward | Counselor | 440 Nevada Ave, Lovell, WY 82431-1916 | 2012-08-06 |
| 1528239829 | Gerry Ryan Burton | Counselor | 59 E Main St, Lovell, WY 82431-2001 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667201 | Shine Forth LLC | Counselor | 6710 Willshire Blvd, Cheyenne, WY 82009-2757 | 2020-10-22 |
| 1811507510 | Allison M Werning | Counselor | 100 E 27th Ave, Torrington, WY 82240-2006 | 2020-08-06 |
| 1053920280 | Christopher Aaron Poe | Counselor | 1030 N Poplar St Ste B, Casper, WY 82601-1378 | 2020-07-23 |
| 1912533209 | Suzanne L Scott | Counselor | 1227 Weaver St, Rawlins, WY 82301-4445 | 2020-03-18 |
| 1053946806 | Karen Ellen Robertson | Counselor | 1912 Spring Creek Dr, Laramie, WY 82070-4747 | 2020-03-11 |
| 1215561915 | Lacy Renae Bangert | Counselor | 54 Meadow Plains Rd, Laramie, WY 82070-8527 | 2020-03-03 |
| 1942851019 | Cassidy Diane Provo | Counselor | 2241 Farnum St Ste 102, Casper, WY 82609-4108 | 2019-09-20 |
| 1144881632 | Amanda Parks | Counselor | 1326 N Heights Rd, Sheridan, WY 82801-2129 | 2019-06-25 |
| 1306400304 | Diana Lynne Whitney | Counselor | 375 Lane 7 1/2, Powell, WY 82435-9022 | 2019-04-24 |
| 1033690656 | Jane R King | Counselor | 400 S Kendrick Ave Ste 104c, Gillette, WY 82716-3848 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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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.