Active NPI
Kross Fire Counseling & Equine Enterprises
- Mental Health Counselor
- Sheridan, WY
National Provider Identifier
1447673082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1076
- Legal business name
- KROSS FIRE COUNSELING & EQUINE ENTERPRISES
- Practice address
- 919 Airport Rd
Sheridan, WY 82801-5806 - Phone
- (307) 751-3769
- Fax
- (307) 763-4440
- NPI assigned
- Feb 3, 2014
- Last updated
- Feb 3, 2014
- Organization subpart
- Yes
- Parent organization
- DR. WOJCIECH ZOLCIK MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Raley Ma Raley, MA LPC
- Title
- Clinician
- Phone
- (307) 751-3769
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1076 | WY | |
| Mental Health Counselor | 101YM0800X | 1076 | WY | Primary |
| Professional Counselor | 101YP2500X | 1076 | WY |
Addresses
Primary practice location
919 Airport Rd
Sheridan, WY 82801-5806
Mailing address
919 Airport Rd
Sheridan, WY 82801-5806
Phone (307) 751-3769
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Professional Counselor
- Sheridan, WY
- NPI 1346564655
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391385600000",
"number": "1447673082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 AIRPORT RD",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015806",
"telephone_number": "307-751-3769",
"fax_number": "307-763-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 AIRPORT RD",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015806",
"telephone_number": "307-751-3769",
"fax_number": "307-763-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KROSS FIRE COUNSELING & EQUINE ENTERPRISES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DR. WOJCIECH ZOLCIK MD PC",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A",
"authorized_official_last_name": "RALEY",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "RALEY MA",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "307-751-3769",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "1076",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "1076",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "1076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.