Provider Demographics
NPI:1801861703
Name:DENAEYER, BARBARA L (LPC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:DENAEYER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 STRAHAN PKWY
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-9162
Mailing Address - Country:US
Mailing Address - Phone:307-672-2044
Mailing Address - Fax:307-674-6867
Practice Address - Street 1:3322 STRAHAN PKWY
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-9162
Practice Address - Country:US
Practice Address - Phone:307-672-2044
Practice Address - Fax:307-674-6867
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY363101YM0800X
101YP2500X
WYLPC716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY830234097Medicaid
MT0000745423OtherBLUE CROSS/SHIELD OF MONT