Active NPI
Shaun Richey
- Clinical Social Worker
- Pinedale, WY
National Provider Identifier
1114209350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 24 Country Club LN.
Pinedale, WY 82941 - Phone
- (307) 367-2111
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
24 Country Club LN.
Pinedale, WY 82941
Mailing address
1111 Mountain Meadow Ave
Pinedale, WY 82941-5348
Phone (307) 367-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- High Country Behavioral Health
Practice addresses (Care Compare)
1248 E 17TH St
Idaho Falls, ID 83404-6147
Phone (208) 542-1026
24 Country Club Lane
Pinedale, WY 82941-0841
Phone (307) 367-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Counseling, LLC | Clinical | Current | Accepting new patients |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients |
Locations
1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026
420 S 4th Ave
Pocatello, ID 83201
Phone (208) 478-9081
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Afton, WY
- NPI 1457472748
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Idaho Falls, ID
- NPI 1295379865
-
- Clinical Social Worker
- Pinedale, WY
- NPI 1497682728
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Douglas, WY
- NPI 1134890650
-
- Mental Illness Community Based Residential Treatment Facility
- Douglas, WY
- NPI 1750113882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1114209350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MOUNTAIN MEADOW AVE",
"city": "PINEDALE",
"state": "WY",
"postal_code": "829415348",
"telephone_number": "307-367-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 COUNTRY CLUB LN.",
"city": "PINEDALE",
"state": "WY",
"postal_code": "82941",
"telephone_number": "307-367-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "SHAUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinedale, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.