Organization Active NPI

Soar Counseling Services, Inc.

  • Adult Mental Health Clinic/Center
  • Cody, WY
National Provider Identifier
1497939524
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOAR COUNSELING SERVICES, INC.
Doing business as
Soar Counseling Services Inc.
Practice address
14 Tapadero LN
Cody, WY 82414-9622
Phone
(307) 250-1338
NPI assigned
Dec 26, 2007
Last updated
Feb 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Cheri Marie KreitzmannNPI 1417005430
Title
Owner
Phone
(307) 250-1338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

14 Tapadero LN
Cody, WY 82414-9622

Mailing address

14 Tapadero LN
Cody, WY 82414-9622
Phone (307) 250-1338

Other identifiers 1

IdentifierTypeStateIssuer
42234700MedicaidWI

Other names 1

  • Soar Counseling Services Inc. Doing business as

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": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1497939524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TAPADERO LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149622",
            "telephone_number": "307-250-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TAPADERO LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149622",
            "telephone_number": "307-250-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "KREITZMANN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-250-1338"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42234700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soar Counseling Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.