Organization Active NPI

Mindfully Reconnect

  • Community/Behavioral Health Agency
  • Cheyenne, WY
National Provider Identifier
1003234774
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW 731 Issued in WY
Legal business name
MINDFULLY RECONNECT
Practice address
2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone
(307) 640-1008
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth Ann Schroll, LCSW
Title
Onwer
Phone
(307) 640-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW 731 WY Primary

Addresses

Primary practice location

2321 Dunn Ave
Cheyenne, WY 82001-3214

Mailing address

2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 640-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140512001826 WY Part B Supplier - Clinic/Group Practice 8921231275 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Locations

1001 W 31st St
Cheyenne, WY 82001
Phone (307) 634-6883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1003234774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-640-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-640-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY RECONNECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHROLL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "307-640-1008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "LCSW 731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.