Active NPI
Southwest Counseling Services
- Community/Behavioral Health Agency
- Rock Springs, WY
National Provider Identifier
1205064185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 101YM0000X
- Legal business name
- SOUTHWEST COUNSELING SERVICES
- Practice address
- 1124 College Dr
Rock Springs, WY 82901-5863 - Phone
- (307) 352-6677
- NPI assigned
- Jun 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daryl William Michael, PPC
- Title
- Mental Health Counselor
- Phone
- (307) 352-6677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 101YM0000X | WY | Primary |
Addresses
Primary practice location
1124 College Dr
Rock Springs, WY 82901-5863
Mailing address
1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 652-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040607000337 | WY | Part B Supplier - Clinic/Group Practice | 5890777437 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rock Springs, WY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rock Springs, WY
- NPI 1215007083
O20040607000337
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rock Springs, WY
- NPI 1588946727
O20040607000337
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1205064185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015863",
"telephone_number": "307-652-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015863",
"telephone_number": "307-352-6677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "MICHAEL",
"authorized_official_first_name": "DARYL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "307-352-6677",
"authorized_official_credential": "PPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WY",
"license": "101YM0000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
- Southwest Counseling Service
- Southwest Counseling Service
- Southwest Counseling Service
- Southwest Counseling Service
- Southwest Counseling Service
- Southwest Pain Management Inc
- Southwest Wyoming Rehabilitation Center
- Southwest Wyoming Rehabilitation Center
- Southwest Wyoming Rehabilitation Center
- David Felix Sowada, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.