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Active NPI 1982938114 Individual Practitioner Female Practitioner

Stephanie M Kettl , MS, LPC

Counselor - Professional • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Stephanie Kettl, MS, LPC is a registered healthcare professional specializing in Counselor - Professional in Cheyenne, WY. Practice services are available at 821 W PERSHING BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

821 W Pershing Blvd

Cheyenne, WY 820012537

Telephone 3074219329
Fax 3076353965

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
107 Specialists

Practicing in Cheyenne, WY (606 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WY 1017

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WY 1017

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Michelle Gonyo

Social Worker - Clinical

NPI 1134694011
NPI 1235810664

MRC, Certified Rehabilitation Counselor, PLPC

Tiernan Mcilwaine , MSW

Case Manager/Care Coordinator

NPI 1265701759

Master of Social Work

Janae Frank , LPC

Counselor - Professional

NPI 1275985749

Licensed Professional Counselor

NPI 1316760242

PPC, National Certified Counselor

NPI 1336123777

Master of Arts, LPC#539

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2016

Registered at 821 W PERSHING BLVD, CHEYENNE, WY 820012537 (Tel: 3074219329)

📍
Updated Business Mailing Address July 22, 2016

Registered at 821 W PERSHING BLVD, CHEYENNE, WY 820012537 (Tel: 3074219329)

👤
Provider Name / Credentials Updated July 22, 2016

Recorded as STEPHANIE KETTL, MS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Counselor (License #1017 in WY)

🟢
Initial NPI Registration & Enumeration September 21, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982938114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2009
Last Update: July 22, 2016
Sole Proprietor: Yes

Mailing Address

821 W Pershing Blvd

Cheyenne, WY 820012537

Phone: 3074219329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.