GWENDOLYN L SMITH-RUSSELL (NPI# 1649474396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649474396 |
| Entity Type | Individual |
| Full Name | GWENDOLYN L SMITH-RUSSELL |
| Credential | LPC |
| Practice Address |
1613 Evans Ave Cheyenne WY 82001-4619 |
| Mailing Address |
656 Vista Ln Cheyenne WY 82009-3332 |
| Practice Telephone | 3072211133 |
| Practice Fax Number | 3076353965 |
| Mailing Telephone | 3072211133 |
| Mailing Fax Number | 3076353965 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
147 | WY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
423 | WY | Behavioral Health & Social Service Providers |
| Street Address |
1613 EVANS AVE |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667201 | Shine Forth LLC | Counselor | 6710 Willshire Blvd, Cheyenne, WY 82009-2757 | 2020-10-22 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1356841597 | Little Things Counseling | Counselor | 1603 Capitol Ave Ste 510a, Cheyenne, WY 82001-4563 | 2018-02-14 |
| 1225543374 | Changeabout Concepts LLC | Counselor | 1507 Carey Ave Ste 3, Cheyenne, WY 82001-4484 | 2017-12-12 |
| 1699216267 | Career Innovations | Counselor | 3411 Cleveland Ave, Cheyenne, WY 82001-2163 | 2017-03-16 |
| 1508314295 | Jennifer Brooke Rigg | Counselor | 1226 Alyssa Way, Cheyenne, WY 82009-3867 | 2016-09-12 |
| 1629444351 | Adam Elias Stuart-walker | Counselor | 1816 E 17th St, Cheyenne, WY 82001-5010 | 2015-08-17 |
| 1619227444 | Foundations Counseling & Consulting of Wyoming, LLC | Counselor | 2003 Central Ave, Cheyenne, WY 82001-3745 | 2012-09-19 |
| 1952690836 | Jamie Snyder | Counselor | 2000 Westland Rd Unit C, Cheyenne, WY 82001-3309 | 2011-03-31 |
| Find all providers in CHEYENNE | ||||
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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.