Healthcare Provider Details

I. General information

NPI: 1326309782
Provider Name (Legal Business Name): DARBY GOODSPEED RANSOM MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2012
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 S WILSON ST
CASPER WY
82601-2941
US

IV. Provider business mailing address

2301 COVE AVE
LA GRANDE OR
97850-3906
US

V. Phone/Fax

Practice location:
  • Phone: 307-265-3791
  • Fax:
Mailing address:
  • Phone: 541-962-8800
  • Fax: 541-963-5272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberT-25-5749
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC10304
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number959
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: