| Jared Bingham, LCPC | |
|
190 Overthrust Rd, Evanston, WY 82930-2910 | |
| (307) 789-4224 | |
| (307) 789-4225 |
| Full Name | Jared Bingham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 190 Overthrust Rd, Evanston, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053751347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCPC 3721 (Idaho) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-1745 (Wyoming) | Primary |
| Entity Name | High Country Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Bingham, LCPC Po Box 2910, Evanston, WY 82931-2910 Ph: (307) 789-4224 | Jared Bingham, LCPC 190 Overthrust Rd, Evanston, WY 82930-2910 Ph: (307) 789-4224 |
Kylie Osterling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 | |
Ronald Janeiro Dolan, PMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Suite 105, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Todd Bader, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 724 Front St, Suite 511, Evanston, WY 82931 Phone: 307-799-8640 Fax: 307-789-2866 | |
Mr. Bret B Mccoy, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3079 Yellow Creek Rd Spc 1762, Evanston, WY 82930 Phone: 307-313-8862 | |
Tiffany Lynn Hogue, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 545 Cheyenne Dr Ste G, Evanston, WY 82930 Phone: 307-363-2705 | |
Brady Hildt, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1565 Highway 150 S Ste F, Evanston, WY 82930 Phone: 801-663-2415 |