CLEAR CREEK COUNSELING LLC (NPI# 1083937486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083937486 |
| Entity Type | Organization |
| Organization Name | CLEAR CREEK COUNSELING LLC |
| Practice Address |
801 E. 4th St. Suite 24 Gillette WY 82716 |
| Practice Telephone | 3076869422 |
| Practice Fax Number | 3076863833 |
| Mailing Telephone | 3076869422 |
| Mailing Fax Number | 3076863833 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | DALE F. OEDEKOVEN (CO-OWNER) |
| Authorized Official Telephone | 3076869422 |
| Authorized Official Credential | MA, LPC, LAT, NC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC540 | WY | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | 540 | WY | Agencies |
| Y | 101Y00000X | Counselor | LPC-372 | WY | Behavioral Health & Social Service Providers |
| Street Address |
801 E. 4TH ST. SUITE 24 |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| 1225191919 | Kim Biegler | Counselor | 707 W. 8th St, Gillette, WY 82716 | 2006-12-18 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487182465 | Teigan L Thole | Counselor | 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 | 2017-06-02 |
| 1790189165 | Sarah Isaack | Counselor | 310 S Miller Ave Ste G, Gillette, WY 82716-3944 | 2014-10-14 |
| 1902235989 | Paul A Lehman | Counselor | 605 Derringer Ct, Gillette, WY 82718-4158 | 2013-11-11 |
| 1295052140 | Patricia Ruth Nesbit | Counselor | 601 S Gillette Ave, Gillette, WY 82716-4205 | 2010-04-30 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1962032052 | Sally Joy Craig | Counselor | 1800 W 4j Rd, Gillette, WY 82718-9109 | 2020-01-17 |
| 1679047922 | Amy Darlene Weber | Counselor | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2019-01-18 |
| 1659775880 | Sarah Catherine Clonch | Counselor | 800 Butler Spaeth Rd, Gillette, WY 82716-4612 | 2014-10-17 |
| 1376947770 | Heather Schmelzle | Counselor | 707 W 8th St, Gillette, WY 82716 | 2014-10-14 |
| 1073944849 | Nicole Roth | Counselor | 501 S Burma Ave, Gillette, WY 82716-3426 | 2013-12-04 |
| Find all providers in GILLETTE | ||||
Please comment or provide details below to improve the information on CLEAR CREEK COUNSELING LLC.
| 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.