Individual provider Active NPI

Cassity Nan Goetz, PPC

  • Counselor
  • Gillette, WY
National Provider Identifier
1144091059
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PPC-1437 Issued in WY
Practice address
542 Running W Dr
Gillette, WY 82718-2074
Phone
(307) 257-2331
Fax
(307) 670-8042
NPI assigned
Jan 10, 2024
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PPC-1437 WY Primary

Addresses

Primary practice location

542 Running W Dr
Gillette, WY 82718-2074

Mailing address

542 Running W Dr
Gillette, WY 82718-2074
Phone (307) 257-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930004428 WY Practitioner - Mental Health Counselor 8123524071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Therapy LLCGroup PAC ID 7315274883, 8 clinicians

Practice addresses (Care Compare)

542 Running W Dr
Gillette, WY 82718-2074
Phone (307) 257-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPC-1437WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Therapy LLC Counselor CurrentSince Jul 19, 2025 Accepting new patients

Locations

542 Running W Dr
Gillette, WY 82718
Phone (307) 257-2331

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1144091059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 RUNNING W DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182074",
            "telephone_number": "307-257-2331",
            "fax_number": "307-670-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 RUNNING W DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182074",
            "telephone_number": "307-257-2331",
            "fax_number": "307-670-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "CASSITY",
        "middle_name": "NAN",
        "credential": "PPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.