Individual provider Active NPI

Sarah Randolph Hixson, LCSW

  • Social Worker
  • Pinedale, WY
National Provider Identifier
1245406016
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW 276 Issued in WY
Practice address
24 Country Club Lane
Pinedale, WY 82941
Phone
(307) 367-2111
Fax
(307) 367-2166
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW 276 WY Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

24 Country Club Lane
Pinedale, WY 82941

Mailing address

PO Box 856
Pinedale, WY 82941-0856
Phone (307) 367-2111

Other names 1

  • Sarah R Hixson Professional name

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
I20210609001998 WY Practitioner - Clinical Social Worker 1759781941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Country Behavioral HealthGroup PAC ID 0648454587, 44 clinicians

Practice addresses (Care Compare)

24 Country Club Lane
Pinedale, WY 82941-0841
Phone (307) 367-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 276WYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health Rehabilitation, Substance Use Disorder Current Accepting new patients
High Country Behavioral Health CurrentSince Apr 12, 2021 Accepting new patients
High Country Behavioral Health Rehabilitation, Substance Use Disorder CurrentSince Apr 12, 2021 Accepting new patients

Locations

1841 Madora Ave
Douglas, WY 82633

190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764

821 Sage Ave
Kemmerer, WY 83101
Phone (307) 877-4466

721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156

121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1245406016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829410856",
            "telephone_number": "307-367-2111",
            "fax_number": "307-367-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COUNTRY CLUB LANE",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "82941",
            "telephone_number": "307-367-2111",
            "fax_number": "307-367-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "SARAH",
        "middle_name": "RANDOLPH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WY",
            "license": "LCSW 276",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HIXSON",
            "middle_name": "R",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pinedale, WY

Sources for this page

Verify at the official NPI Registry.