Individual provider Active NPI

Jodi Geis-Crowder, MS, LPC

  • Professional Counselor
  • Cheyenne, WY
National Provider Identifier
1356530463
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1602 Issued in WY
Practice address
510 W 29TH St
Cheyenne, WY 82001-2760
Phone
(307) 632-9362
Fax
(307) 637-6852
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-1602 WY
Mental Health Counselor 101YM0800X LPC-2476 CO
Professional Counselor 101YP2500X LPC-1602 WY Primary

Addresses

Primary practice location

510 W 29TH St
Cheyenne, WY 82001-2760

Mailing address

510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 632-9362

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
I20240117004067 WY Practitioner - Mental Health Counselor 2466804208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-2476COMDMental Health Counselor
LPC-1602WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Northern Rockies CurrentSince Jan 1, 2024 Accepting new patients
Volunteers of America Northern Rockies Current Accepting new patients
Volunteers of America Northern Rockies CurrentSince Jan 1, 2024 Accepting new patients

Locations

510 W 29th St
Cheyenne, WY 82001
Phone (307) 426-4728

2526 Seymour Ave
Cheyenne, WY 82001
Phone (307) 634-9653

1263 N 15th St
Laramie, WY 82072
Phone (307) 745-8915

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volunteers of America Northern Rockies 19 clinicians

Practice addresses (Care Compare)

2526 Seymour Ave
Cheyenne, WY 82001-3159
Phone (307) 634-9653

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1356530463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 29TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012760",
            "telephone_number": "307-632-9362",
            "fax_number": "307-637-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 29TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012760",
            "telephone_number": "307-632-9362",
            "fax_number": "307-637-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS-CROWDER",
        "first_name": "JODI",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC-1602",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-2476",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.