DUSTIN BRINK, P.P.C. — NPI 1548626138 (Licensed & Credentialed Counselor in POWELL, WY)

CMS-1500 Box 24J / 33a • NPI

1548626138

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101Y00000X

Licensed & Credentialed Counselor

Box 32 Service Location & ZIP+4

125 S DIVISION ST, POWELL, WY, 82435-2409

✓ 9-Digit EDI 837 ZIP+4 (82435-2409)

Practice Phone & Referral Fax

(307) 754-7970

Fax: (307) 754-7971

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1548626138 (DUSTIN BRINK, P.P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1548626138` (NPI-1 Individual Practitioner)
Provider / Legal Name	DUSTIN BRINK, P.P.C.
Plain-English Specialty	Licensed & Credentialed Counselor NUCC Code: `101Y00000X` (Counselor)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	125 S DIVISION ST, POWELL, WY, 82435-2409
Practice Telephone / Fax	Tel: (307) 754-7970 \| Fax: (307) 754-7971
Administrative Mailing Address	2317 LANE 9, POWELL, WY, 82435-9543
Enumeration & Last Sync	Enumerated: 2016-01-12 \| CMS Record Updated: 2016-01-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

125 S DIVISION ST, POWELL, WY, 82435-2409

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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)

What Does Taxonomy Code 101Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DUSTIN BRINK, P.P.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: WY \| License: `PPC-936` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DUSTIN BRINK, P.P.C. (NPI #1548626138)