Active NPI
Living Positively on Purpose PC
- Professional Counselor
- Cheyenne, WY
National Provider Identifier
1508180217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC787
- Legal business name
- LIVING POSITIVELY ON PURPOSE PC
- Practice address
- 601 Randall Ave
Cheyenne, WY 82001-2746 - Phone
- (307) 287-7847
- NPI assigned
- Mar 24, 2010
- 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
- Ms. Deborah D Cockreham, LPC
- Title
- Registered Agent
- Phone
- (307) 287-7847
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC787 | WY | Primary |
Addresses
Primary practice location
601 Randall Ave
Cheyenne, WY 82001-2746
Mailing address
507 E 18TH St
Cheyenne, WY 82001-4617
Phone (307) 287-7847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
601 Randall Ave
Cheyenne, WY 82001
Phone (307) 287-7847
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1508180217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 E 18TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014617",
"telephone_number": "307-287-7847",
"fax_number": "307-637-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 RANDALL AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012746",
"telephone_number": "307-287-7847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING POSITIVELY ON PURPOSE PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-24",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "COCKREHAM",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "307-287-7847",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.