Healthcare Provider Details

I. General information

NPI: 1467601088
Provider Name (Legal Business Name): NATASHA MCCOLL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 COUGAR AVE
CODY WY
82414-5442
US

IV. Provider business mailing address

2221 COUGAR AVE
CODY WY
82414-5442
US

V. Phone/Fax

Practice location:
  • Phone: 307-578-8001
  • Fax:
Mailing address:
  • Phone: 307-578-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPPC-1124
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPPC-1124
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberPPC-1124
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: