Rising Phoenix Solutions Wyoming LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RISING PHOENIX SOLUTIONS WYOMING LLC

Practice address

2321 Dunn Ave
Cheyenne, WY 82001-3214

Phone

(307) 314-2319

NPI assigned

Nov 24, 2020

Last updated

Nov 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirbie Brown, LCSWNPI 1609410547

Title

Owner

Phone

(307) 314-2319

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirbie L Brown, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
  • NPI 1609410547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1376147876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 CENTRAL AVE STE 202",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-314-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX SOLUTIONS WYOMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIRBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-314-2319",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Riegel, BSW
• Kirsten Rigg, LCSW
• Rhonda Michele Riley, LCSW
• Laramie L Ringolsby, MSW, LCSW
• Mark D Rinne, DDS PC
• Rising Wellness Counseling LLC
• Shelly R Risner-Vossler
• Mark Richard Ritchie
• Rite of Passage Inc (Meadowlark)
• Rite of Passage Inc

• Multi-Specialty Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Multi-Specialty Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.