Active NPI
Sherri J Rubeck, MA, LPC #539
- Counselor
- Cheyenne, WY
National Provider Identifier
1336123777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 539
- Practice address
- 1620 Central Ave Ste 302
Cheyenne, WY 82001-4557 - Phone
- (307) 221-9791
- Fax
- (307) 635-3965
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 539 | WY | Primary |
Addresses
Primary practice location
1620 Central Ave Ste 302
Cheyenne, WY 82001-4557
Mailing address
1620 Central Ave Ste 302
Cheyenne, WY 82001-4557
Phone (307) 221-9791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311127 | Other | WY | BS OF WY |
| MH124 | Other | WY | HMO WINHEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1336123777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 CENTRAL AVE STE 302",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014557",
"telephone_number": "307-221-9791",
"fax_number": "307-635-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 CENTRAL AVE STE 302",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014557",
"telephone_number": "307-221-9791",
"fax_number": "307-635-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBECK",
"first_name": "SHERRI",
"middle_name": "J",
"credential": "MA, LPC #539",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF WY",
"identifier": "311127",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO WINHEALTH PARTNERS",
"identifier": "MH124",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.