Organization Active NPI

Living Positively on Purpose PC

  • Professional Counselor
  • Cheyenne, WY
National Provider Identifier
1508180217
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC787 Issued in WY
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

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Ms. Deborah D Cockreham, LPCNPI 1649436288
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20241025003581 WY Part B Supplier - Clinic/Group Practice 0840723045 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.