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

Mr. Brian Keith Boles, WYOMINGLPC1705

Individual provider Professional Counselor · NPI 1912376575

Mr. Brian Keith Boles, WYOMINGLPC1705 is a Mental Health Counselor in Casper, Wyoming. Qualified in 2014, 12 years ago. Practices with Joseph Yeretsian PC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
12
Licensed in
WY
In the registry since
2015
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Practice location Address checks out

1430 Wilkins Cir
Casper, WY 82601-1336
Phone: (307) 237-9583
Fax: (307) 265-7277
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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 1705 (WY)

Record details

NPI number1912376575
Entity typeIndividual (Type 1)
GenderMale
Credentials WYOMINGLPC1705
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESJanuary 5, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Joseph Yeretsian Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Casper