Organization Active NPI

Ark Regional Services, Inc.

  • Professional Counselor
  • Laramie, WY
National Provider Identifier
1023344942
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ARK REGIONAL SERVICES, INC.
Practice address
1150 N 3Rd St
Laramie, WY 82072
Phone
(307) 742-6641
Fax
(307) 742-9203
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Leroy Martin
Title
VP - Finance
Phone
(307) 742-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1150 N 3Rd St
Laramie, WY 82072

Mailing address

1150 N 3Rd St
Laramie, WY 82072-2514
Phone (307) 742-6641

Other identifiers 1

IdentifierTypeStateIssuer
100128101MedicaidWY

National Provider Directory

National Provider Directory

Locations

1150 N 3rd St
Laramie, WY 82072
Phone (307) 742-6641

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": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1023344942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722514",
            "telephone_number": "307-742-6641",
            "fax_number": "307-742-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-742-6641",
            "fax_number": "307-742-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK REGIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "VP - FINANCE",
        "authorized_official_telephone_number": "307-742-6641"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100128101",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.