Organization Active NPI

Kross Fire Counseling & Equine Enterprises

  • Mental Health Counselor
  • Sheridan, WY
National Provider Identifier
1447673082
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1076 Issued in WY
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. WOJCIECH ZOLCIK MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.