MS. SUEANN TAVENER (NPI# 1356691877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356691877 |
| Entity Type | Individual |
| Full Name | MS. SUEANN TAVENER |
| Credential | LPC#1119 LAT#317 |
| Practice Address |
1404 South Poplar Casper WY 82602-2793 |
| Mailing Address |
1404 South Poplar Casper WY 82604 |
| Practice Telephone | 3072662580 |
| Practice Fax Number | 3074738900 |
| Mailing Telephone | 3072662580 |
| Mailing Fax Number | 3074738900 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC 1119 | WY | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAT 317 | WY | Behavioral Health & Social Service Providers |
| Street Address |
1404 SOUTH POPLAR |
| City | CASPER |
| State | WY |
| Zip Code | 82602-2793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265988539 | Kirsten Nicole Leedall | Case Manager/Care Coordinator | 152 N. Durbin St., Suite 235, Casper, WY 82602 | 2016-08-28 |
| 1942395090 | Wyoming Behavioral Institution | General Acute Care Hospital | 2521 East 15th St, Casper, WY 82602 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821018 | Dee Kilburn | Case Manager/Care Coordinator | 1119 N Jackson St, Casper, WY 82601-1116 | 2020-11-05 |
| 1093315350 | Lhcg Clxxiii LLC | Home Health | 907 N Poplar St Ste 277, Casper, WY 82601-1345 | 2020-10-27 |
| 1811594492 | Tiffany Palmer | Social Worker | 1010 E 1st St Ste A, Casper, WY 82601-2753 | 2020-10-06 |
| 1760089452 | Wyoming Medical Associates, LLC | Clinic/Center | 940 E 3rd St Ste 210, Casper, WY 82601-3251 | 2020-10-06 |
| 1093322109 | Candid Wyoming, P.C. | Dentist | 5830 E 2nd St, Casper, WY 82609-4308 | 2020-09-23 |
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1033720008 | Mcginley Medical, PC | Radiology | 2435 King Blvd Ste 233, Casper, WY 82604-3166 | 2020-08-13 |
| 1952911489 | Stephanie Ann Fountain | Massage Therapist | 254 N Center St, Casper, WY 82601-1927 | 2020-08-10 |
| 1093326589 | Coleman Cogswell | Physical Therapist | 4070 Plaza Dr Ste 107, Casper, WY 82604-4296 | 2020-08-10 |
| 1053920280 | Christopher Aaron Poe | Counselor | 1030 N Poplar St Ste B, Casper, WY 82601-1378 | 2020-07-23 |
| Find all providers in CASPER | ||||
| 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 |
|---|---|---|---|---|
| 1962010025 | Aubrianna S Carrick | Counselor | 933 W 14th St, Casper, WY 82601-3561 | 2020-07-15 |
| 1588224216 | Joseph Lister Nyaringo | Counselor | 5021 Pay It Forward Dr, Casper, WY 82609-4487 | 2019-06-14 |
| 1992121677 | Amanda Dediego | Counselor | 123 W 1st St Ste 208a, Casper, WY 82601-2480 | 2014-03-05 |
| 1275883902 | Child & Family Counseling LLC | Counselor | 136 North Nichols, Casper, WY 82601-1816 | 2012-09-10 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1386938876 | Amy Joann Remington | Counselor | 3860 Washakie St, Casper, WY 82609-2337 | 2011-06-02 |
| 1023326964 | Scott Alan Stinson | Counselor | 820 Payne Ave, Casper, WY 82609-2652 | 2010-09-14 |
| 1164748653 | Deborah Michael | Counselor | 3211 Energy Lane #402, Casper, WY 82604-2963 | 2010-04-09 |
| 1124352109 | Doris J. Lowe | Counselor | 100 N Center St Ste 202, Casper, WY 82601-1977 | 2009-09-24 |
| Find all providers in CASPER | ||||
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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.