Somatic Revelations, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOMATIC REVELATIONS, LLC

Practice address

2020 E Grand Ave Ste 421 & 412
Laramie, WY 82070-4370

Phone

(307) 200-9228

Fax

(307) 460-9084

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tyler S. Tedmon-Jones, PHDNPI 1730498346

Title

Provider/Owner

Phone

(307) 200-9228

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler S. Tedmon-Jones, LPC, LCAT, BC-DMT

  • Mental Health Counselor
  • Laramie, WY
  • NPI 1730498346
  NPD Authorized official

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1285251967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820730594",
            "telephone_number": "307-200-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E GRAND AVE STE 421 & 412",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704370",
            "telephone_number": "307-200-9228",
            "fax_number": "307-460-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC REVELATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "TEDMON-JONES",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "307-200-9228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snowy Range Physical Therapy and Wellness, LLC
• Brooke Snyder
• Cristian Soles
• Roxanne Solomon
• Soma Spirit Therapeutics LLC
• Janet Somlyay, APRN
• Amy Sommerfeld, MA
• Jason Lee Sondgeroth
• Jennifer Sones
• Emily J Sonzogni, MS, CF-SLP

• Mental Health Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.