Organization Active NPI

Integrated Counseling Services, LLC

  • Professional Counselor
  • Cody, WY
National Provider Identifier
1306392188
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1170 Issued in WY
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

Updated by the provider on Aug 31, 2016

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.