EDEN MARIE WEST (NPI# 1801025655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801025655 |
| Entity Type | Individual |
| Full Name | EDEN MARIE WEST |
| Other Name | EDEN MARIE HINTZ |
| Credential | PCSW |
| Practice Address |
113 S Gillette Ave Suite 203 Gillette WY 82716-3740 |
| Mailing Address |
113 Gillette Ave. Suite 203 Gillette WY 82716-3741 |
| Practice Telephone | 3076856982 |
| Practice Fax Number | 3076858054 |
| Mailing Telephone | 3076856982 |
| Mailing Fax Number | 3076858054 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCSW 734 | WY | Behavioral Health & Social Service Providers |
| Street Address |
113 S GILLETTE AVE SUITE 203 |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922024363 | Lisa M Jacboson | Counselor | 113 S Gillette Ave, Suite 203, Gillette, WY 82716-3740 | 2006-07-15 |
| 1891152344 | Courage To Change LLC | Clinic/Center | 113 S Gillette Ave, Ste 200, Gillette, WY 82716-3740 | 2016-01-27 |
| 1184006876 | H.o.p.e. Counseling Services LLC | Point of Service | 113 S Gillette Ave, 216, Gillette, WY 82716-3740 | 2015-06-18 |
| 1871985275 | Peaceful Rehabilitation LLC | Counselor | 113 S Gillette Ave, Suite 210, Gillette, WY 82716-3740 | 2015-02-23 |
| 1215205190 | Tina Denise Lawson | Counselor | 113 S Gillette Ave, Suite #203, Gillette, WY 82716-3740 | 2011-12-07 |
| 1780812214 | Brenda Lavonne Jacob | Counselor | 113 S Gillette Ave, Gillette, WY 82716-3740 | 2009-06-23 |
| 1083855316 | Wojciech Zolcik, M.d., P.C. | Psychiatry & Neurology | 113 S Gillette Ave, Suite 200, Gillette, WY 82716-3740 | 2009-03-17 |
| 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 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 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 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931935 | Lyndsey Ellen Burton | Counselor | 400 S Kendrick Ave Ste 202, Gillette, WY 82716-3800 | 2018-02-07 |
| 1801291083 | Lukehart & Pierson Counseling, LLC | Counselor | 4418 Doud Dr, Gillette, WY 82718-4043 | 2014-10-29 |
| 1720327158 | Troy Alan Akins | Counselor | 812 E 4th St, Gillette, WY 82716-4033 | 2013-02-05 |
| 1699029660 | Jay Michael Mahylis | Counselor | 3101 Fitzpatrick Ct, Gillette, WY 82718-6232 | 2012-10-30 |
| 1356651137 | Lisa Kjerstad | Counselor | 7391 Rimrock Dr, Gillette, WY 82718-7162 | 2010-10-14 |
| 1740438209 | Craig Dean Falkman | Counselor | 400 S Kendrick Ave, Gillette, WY 82716-3848 | 2008-09-08 |
| 1457543993 | Michael Lee Smith | Counselor | 700 Longmont St, Gillette, WY 82716-2927 | 2007-08-17 |
| 1205981909 | Amanda V Lukehart | Counselor | 908 S Gillette Ave, Gillette, WY 82716-4807 | 2007-01-24 |
| 1225191919 | Kim Biegler | Counselor | 707 W. 8th St, Gillette, WY 82716 | 2006-12-18 |
| 1922024363 | Lisa M Jacboson | Counselor | 113 S Gillette Ave, Suite 203, Gillette, WY 82716-3740 | 2006-07-15 |
| Find all providers in GILLETTE | ||||
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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.