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MADONNA LEE KIENLEN PEER SPECIALIST
NPI 1982116794
Peer Specialist in Ft. Washakie, WY

Active since November 02, 2017
215 ETHETE ROAD, FT. WASHAKIE, WY 82514(307) 335-8374(307) 335-8299 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madonna Lee Kienlen Peer Specialist NPPES

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

MADONNA LEE KIENLEN PEER SPECIALIST (NPI 1982116794) is an individual peer specialist in Ft. Washakie, Wyoming, licensed in Wyoming (2017-004-MM) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1982116794
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMADONNA LEE KIENLENCredential: PEER SPECIALIST
Location Address215 ETHETE ROADFt. Washakie, WY 82514
Mailing Address215 Ethete RoadFort Washakie, WY 82514 · (307) 335-8374 · Fax (307) 335-8299
Phone(307) 335-8374
Fax(307) 335-8299
Sole ProprietorNo
Enumeration DateNovember 2, 2017
✔ NPI 1982116794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WY · 2017-004-MM
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
215 ETHETE ROAD, Ft. Washakie, WY 82514
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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 Madonna Kienlen's NPI number?

The NPI number for Madonna Kienlen is 1982116794. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Madonna Kienlen located?

Madonna Kienlen practices at 215 Ethete Road, Ft. Washakie, WY 82514. The listed phone number is (307) 335-8374.

What is Madonna Kienlen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Madonna Kienlen was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.