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MRS. CASSIDY DIANE PROVO PPC
NPI 1942851019
Counselor - Professional in Casper, WY

Active since September 20, 2019
2241 FARNUM ST STE 102, CASPER, WY 82609(307) 234-9979(307) 234-9989 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Cassidy Diane Provo Ppc NPPES

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

MRS. CASSIDY DIANE PROVO PPC (NPI 1942851019) is an individual professional provider in Casper, Wyoming, licensed in Wyoming (1151) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1942851019
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CASSIDY DIANE PROVOCredential: PPC
Location Address2241 FARNUM ST STE 102Casper, WY 82609-4108
Mailing Address2241 Farnum St Ste 102Casper, WY 82609-4108 · (307) 234-9979 · Fax (307) 234-9989
Phone(307) 234-9979
Fax(307) 234-9989
Sole ProprietorYes
Enumeration DateSeptember 20, 2019
✔ NPI 1942851019 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 · 1151
2241 FARNUM ST STE 102, Casper, WY 82609
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Other Names 1

Former Name (1)Miss Cassidy Diane Benson

Other Identifiers 1

Medicaid1295286185WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 7

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

INTEGRITY MENTAL HEALTH, LLC
Counselor (Professional)
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 262-3309
BRANDON VEGA
Case Manager/Care Coordinator
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 337-1304
GUY REGINALD HARRIS LCSW
Social Worker (Clinical)
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 333-3513
JENNIFER ROSE LEAVER
Case Management
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 337-1304
PAIGE MARIE BUSHNELL
Case Manager/Care Coordinator
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 315-5091
WILLIMA B FOWLER II
Community/Behavioral Health
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 259-6093
MRS. DAWN ROSE LEWIS M.S., LPC
Counselor (Professional)
2241 FARNUM ST STE 102
CASPER, WY 82609
Natrona County (307) 262-3309

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 Cassidy Provo's NPI number?

The NPI number for Cassidy Provo is 1942851019. It was assigned to this individual provider in the NPPES registry on September 20, 2019. The provider is also known as Miss Cassidy Diane Benson.

Where is Cassidy Provo located?

Cassidy Provo practices at 2241 Farnum St Ste 102, Casper, WY 82609. The listed phone number is (307) 234-9979.

What is Cassidy Provo's specialty?

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

What insurance does Cassidy Provo accept?

Health plans from Blue Cross Blue Shield of Wyoming list Cassidy Provo 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 Cassidy Provo was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.