| Justin Coggins, LPC | |
|
4989 N 3rd St, Laramie, WY 82072-9548 | |
| (307) 745-8997 | |
| Not Available |
| Full Name | Justin Coggins |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 4989 N 3rd St, Laramie, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710324249 | NPI | - | NPPES |
| PPC-741 | Other | WY | STATE LICENSE |
| LPC-1516 | Other | WY | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PPC-741 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | LPC- 1516 (Wyoming) | Primary |
| Entity Name | Mercy Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480501 PECOS PAC ID: 3971760133 Enrollment ID: O20120131000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Coggins, LPC 4989 N 3rd St, Laramie, WY 82072-9548 Ph: (307) 745-8997 | Justin Coggins, LPC 4989 N 3rd St, Laramie, WY 82072-9548 Ph: (307) 745-8997 |
Jacquelyn Ralph, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Gail Ford, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 | |
Karen Brooke Glahn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Mitchell St, Laramie, WY 82072 Phone: 801-400-4409 | |
Lois Kline, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-2181 | |
Samantha S Cowper, MA PPC Counselor Medicare: Medicare Enrolled Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 Fax: 307-745-8761 | |
Jenna Hepp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Brittany Bares, M.ED, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Grand Ave, Laramie, WY 82070 Phone: 419-494-3204 |