Healthcare Provider Details

I. General information

NPI: 1326978826
Provider Name (Legal Business Name): LORI WINGERTER LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 KING BLVD STE 217
CASPER WY
82604-3166
US

IV. Provider business mailing address

6021 RIVERS GATE
CASPER WY
82604-5304
US

V. Phone/Fax

Practice location:
  • Phone: 307-277-7467
  • Fax:
Mailing address:
  • Phone: 307-277-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LORI ANN WINGERTER
Title or Position: THERAPIST
Credential: MA
Phone: 307-277-7467