Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasen J Livermore, LPC

Individual provider Professional Counselor · NPI 1568053700

Jasen J Livermore, LPC is a Mental Health Counselor in Cody, Wyoming. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
5
Licensed in
WY
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

956 12th St
Cody, WY 82414-3602
Phone: (307) 355-9266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-2245 (WY)

Record details

NPI number1568053700
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 31, 2021
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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