Active NPI
Integrated Counseling Services, LLC
- Professional Counselor
- Cody, WY
National Provider Identifier
1306392188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1170
- Legal business name
- INTEGRATED COUNSELING SERVICES, LLC
- Practice address
- 1517 Rumsey Ave
Cody, WY 82414-3813 - Phone
- (307) 587-9755
- Fax
- (307) 587-9755
- NPI assigned
- Aug 31, 2016
- 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
- Julie M Laib, MS, LPC, NCC
- Title
- Owner
- Phone
- (307) 587-9755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1170 | WY | Primary |
Addresses
Primary practice location
1517 Rumsey Ave
Cody, WY 82414-3813
Mailing address
1517 Rumsey Ave
Cody, WY 82414-3813
Phone (307) 587-9755
National Provider Directory
National Provider DirectoryLocations
1517 Rumsey Ave
Cody, WY 82414
Phone (307) 587-6321
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1306392188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 RUMSEY AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143813",
"telephone_number": "307-587-9755",
"fax_number": "307-587-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 RUMSEY AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143813",
"telephone_number": "307-587-9755",
"fax_number": "307-587-9755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "LAIB",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-587-9755",
"authorized_official_credential": "MS, LPC, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "WY",
"license": "1170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.