Active NPI
Soar Counseling Services, Inc.
- Adult Mental Health Clinic/Center
- Cody, WY
National Provider Identifier
1497939524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheri Marie Kreitzmann
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42234700 | Medicaid | WI |
Other names 1
- Soar Counseling Services Inc.
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
- Cody, WY
- NPI 1417005430
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.