JASEN J LIVERMORE LPC
NPI 1568053700
Counselor - Professional in Cody, WY

Active since January 31, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2022, Jan 31, 2021 (2 updates tracked since 2021).

About Jasen J Livermore Lpc NPPES

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

JASEN J LIVERMORE LPC (NPI 1568053700) is an individual professional provider in Cody, Wyoming, licensed in Wyoming (LPC-2245) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568053700
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASEN J LIVERMORECredential: LPC
Location Address956 12TH STCody, WY 82414-3602
Mailing Address2305 Greever StCody, WY 82414-9436 · (307) 355-9266 · Fax (307) 568-2503
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 31, 2021
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1568053700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WY · LPC-2245
956 12TH ST, Cody, WY 82414

Other Names 1

Other Name (5)Jasen J Livermore Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasen J Livermore 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 ID8325486715
PECOS Enrollment IDI20240404000889
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jasen Livermore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Professional
956 12TH ST
Cody, WY 82414
  • Reassigned Medicare billing, Wyoming enrollment
Rehabilitation, Substance Use Disorder
1221 W 5TH ST
Sheridan, WY 82801
  • Reassigned Medicare billing, Wyoming enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
956 12TH ST
CODY, WY 82414
Dentist
956 12TH ST
CODY, WY 82414
Counselor (Professional)
956 12TH ST
CODY, WY 82414
Counselor (Professional)
956 12TH ST
CODY, WY 82414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasen Livermore's NPI number?

The NPI number for Jasen Livermore is 1568053700. It was assigned to this individual provider in the NPPES registry on January 31, 2021. The provider is also known as Jasen J Livermore Lpc.

Where is Jasen Livermore located?

Jasen Livermore practices at 956 12th St, Cody, WY 82414. The listed phone number is (307) 355-9266.

What is Jasen Livermore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jasen Livermore enrolled in Medicare?

Yes. Jasen Livermore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jasen Livermore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasen Livermore reassigns Medicare benefits to 2 organizations: Zion Mountains (Cody, WY) and Volunteers Of America Northern Rockies (Sheridan, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jasen Livermore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasen Livermore accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Jasen Livermore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasen Livermore was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.