Unknown Individual – Group Psychotherapy Psychologist, NPI 1457532277

Unknown Individual is a healthcare provider. based in Gillette, Wyoming. specializing in Group Psychotherapy Psychologist. They hold a License No. 778 (SD). The NPI Number for Unknown Individual is 1457532277

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457532277
Phone
(307) 686-6660
Address
201 W LAKEWAY RD
Deactivation Date
19 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lakeway Professional Center, 201, West Lakeway Road, Gillette, Campbell County, Wyoming, 82718, United States

    STE 516

    GILLETTE, WY 827186361

    Phone: (307) 686-6660

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82718)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1457532277 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Group Psychotherapy Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Gillette, Wyoming in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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