IDEL ENRIQUEZ
NPI 1902612070
Counselor - Mental Health in Jackson, WY

Q: What is Idel Enriquez's NPI number?

The NPI number for Idel Enriquez is 1902612070. It was assigned to this individual provider in the NPPES registry on December 4, 2024. The provider is also known as Idelfonso Enriquez Carvajal.

Q: What is Idel Enriquez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Idel Enriquez was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 04, 2024

420 W PEARL AVE FL 2, JACKSON, WY 83001(307) 734-6040(307) 460-7343 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 19, 2025, Dec 4, 2024 (2 updates tracked since 2024).

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About Idel Enriquez NPPES

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

IDEL ENRIQUEZ (NPI 1902612070) is an individual mental health provider in Jackson, Wyoming, licensed in Wyoming (PPC-1551) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1902612070

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameIDEL ENRIQUEZ

Location Address420 W PEARL AVE FL 2Jackson, WY 83001-8409

Mailing Address6930 Columbia River RdCasper, WY 82604-5462 · (307) 462-9802

Phone(307) 734-6040

Fax(307) 460-7343

Sole ProprietorNo

Enumeration DateDecember 4, 2024

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1902612070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WY · PPC-1551

420 W PEARL AVE FL 2, Jackson, WY 83001

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Other Names 1

Former Name (1)Idelfonso Enriquez Carvajal

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 Idel Enriquez's NPI number?

The NPI number for Idel Enriquez is 1902612070. It was assigned to this individual provider in the NPPES registry on December 4, 2024. The provider is also known as Idelfonso Enriquez Carvajal.

Where is Idel Enriquez located?

Idel Enriquez practices at 420 W Pearl Ave Fl 2, Jackson, WY 83001. The listed phone number is (307) 734-6040.

What is Idel Enriquez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Idel Enriquez was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.