KIPP DANA LPC
NPI 1386825446
Counselor - Professional in Afton, WY

Active since November 16, 2007PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kipp Dana Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIPP DANA LPC (NPI 1386825446) is an individual professional provider in Afton, Wyoming, licensed in Wyoming (LPC-550) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1386825446
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKIPP DANACredential: LPC
Location Address389 ADAMSAfton, WY 83110-0376
Mailing Address404 North Sprague Creek Rd., P.o Box 24Fairview, WY 83119-0024 · (307) 723-2252
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 16, 2007
Last NPPES UpdateDecember 14, 2015
NPI 1386825446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WY · LPC-550
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LAT-220 (WY)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCPC3048 (ID)
389 ADAMS, Afton, WY 83110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kipp Dana Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709213820
PECOS Enrollment IDI20241025000674
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386825446, enumerated as an "individual" on November 16, 2007.

The provider is located at 389 ADAMS AFTON, WY 83110 and the phone number is (307) 885-9883.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and University. Please consult your insurance carrier or call the provider to verify.