Mr Randall Alan Basden, MSED | |
1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | |
(307) 322-3190 | |
Not Available |
Full Name | Mr Randall Alan Basden |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1954 W Mariposa Pkwy, Wheatland, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831311760 | NPI | - | NPPES |
132748801 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC- 858 (Wyoming) | Primary |
Entity Name | Specialty Counseling & Consulting |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538462783 PECOS PAC ID: 8921311911 Enrollment ID: O20150720002981 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall Alan Basden, MSED 510 W 29th St, Cheyenne, WY 82001-2760 Ph: (307) 426-4728 | Mr Randall Alan Basden, MSED 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 Ph: (307) 322-3190 |
M Leanne Harper, MA LPC 848 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1954 W Mariposa Pkwy, Wheatland, WY 82201 Phone: 307-322-3190 Fax: 307-322-3198 | |
Ms. Kirstin Alikina Iubhar, MA, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1954 W Mariposa Pkwy, Wheatland, WY 82201 Phone: 307-322-3190 | |
Kimberly K Dyer, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1560 Johnston St, Suite E, Wheatland, WY 82201 Phone: 307-322-3346 | |
Stephanie Marker, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Gilchrist St Ste 2, Wheatland, WY 82201 Phone: 307-331-8350 | |
Mr. Joseph Allen Bair, M.DIV, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1954 W Mariposa Pkwy, Wheatland, WY 82201 Phone: 307-322-3190 | |
Elyssa L Robbins, PCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Gilchrist St, Wheatland, WY 82201 Phone: 307-322-8122 | |
Kalyn K Krotz, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1954 W Mariposa Pkwy, Wheatland, WY 82201 Phone: 307-322-3190 Fax: 307-322-3198 |