Individual provider Active NPI

Ralph Henry Louis Jr., PH.D.

  • Clinical Psychologist
  • Basin, WY
National Provider Identifier
1225256027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
234 Issued in WY
Practice address
116 South 3Rd Street
Basin, WY 82410
Phone
(307) 568-2020
Fax
(307) 568-2503
NPI assigned
Apr 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 234 WY Primary

Addresses

Primary practice location

116 South 3Rd Street
Basin, WY 82410

Mailing address

3305 Road 27
Greybull, WY 82426-9750
Phone (307) 654-2209

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
I20240205002674 WY Practitioner - Clinical Psychologist 3779926985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloud Peak Counseling CenterGroup PAC ID 3476659699, 13 clinicians

Practice addresses (Care Compare)

401 S 23Rd St
Worland, WY 82401-3725
Phone (307) 347-6165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
234WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Peak Counseling Center CurrentSince Jan 9, 2024 Accepting new patients
Cloud Peak Counseling Center CurrentSince Jan 9, 2024 Accepting new patients

Locations

2538 Big Horn Ave
Cody, WY 82414
Phone (307) 587-2197

1114 Lane 12
Lovell, WY 82431
Phone (307) 548-6543

401 S 23rd St
Worland, WY 82401
Phone (307) 347-6165

Organizations & group practices 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225256027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 ROAD 27",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824269750",
            "telephone_number": "307-654-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SOUTH 3RD STREET",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "82410",
            "telephone_number": "307-568-2020",
            "fax_number": "307-568-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "RALPH",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basin, WY

Sources for this page

Verify at the official NPI Registry.