Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215310065 Individual Practitioner Female Practitioner

Katharine B Simonson

Counselor - Professional • Douglas, WY

Professional Overview & Biography Verified Profile Summary

Katharine Simonson is a registered healthcare professional specializing in Counselor - Professional in Douglas, WY. Practice services are available at 1841 MADORA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1841 Madora Ave

Douglas, WY 82633

Telephone 3073582846
Fax 3073581144
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Douglas, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Douglas, WY (606 Statewide)

Telehealth Adoption Rate
9.1% 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

CMS Verified: 2020-12-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WY LPC-1638

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WY LPC-1638

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
106402908 (WY)
Medicaid State Provider ID
106402907 (WY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Patti Cobb

Community Health Worker

NPI 1003147018
NPI 1033407994

Master of Social Work, PCSW

NPI 1063768703

COMMUNTIYHEALTHWOR

Stacie Thoma , MA, LPC

Counselor - Professional

NPI 1073680518

Master of Arts, Licensed Professional Counselor

Christy Garcia

Case Manager/Care Coordinator

NPI 1073891354
Darlene Fishel , LCSW

Social Worker - Clinical

NPI 1104006535

Licensed Clinical Social Worker

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated December 07, 2020

Recorded as KATHARINE SIMONSON

📍
Updated Practice Location May 22, 2018

Registered at 1841 MADORA AVE, DOUGLAS, WY 82633 (Tel: 3073582846)

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 1841 MADORA AVE, DOUGLAS, WY 826333057 (Tel: 3073582846)

📍
Updated Business Mailing Address April 19, 2017

Registered at 1841 MADORA AVE, DOUGLAS, WY 826333057 (Tel: 3073582846)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as KATHARINE STICH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Counselor (License #LPC-1638 in WY)

NPI Profile Active June 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2015

Registered at 1430 WILKINS CIR, CASPER, WY 826011336 (Tel: 3072379583)

📍
Updated Business Mailing Address June 29, 2015

Registered at 1430 WILKINS CIR, CASPER, WY 826011336 (Tel: 3072379583)

👤
Provider Name / Credentials Updated June 29, 2015

Recorded as KATHARINE STICH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2015

Counselor (License #PPC-891 in WY)

🟢
Initial NPI Registration & Enumeration June 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Katharine Simonson. Be the first to share your experience!

Sign in to leave a review for Katharine Simonson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215310065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2015
Last Update: December 07, 2020
Sole Proprietor: No

Mailing Address

1841 Madora Ave

Douglas, WY 826333057

Phone: 3073582846

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.