Organization Active NPI

Soar Counseling Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cody, WY
National Provider Identifier
1629486865
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOAR COUNSELING SERVICES, INC.
Practice address
1507 Beck Ave
Cody, WY 82414-3920
Phone
(307) 586-3783
Fax
(307) 586-2376
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Mrs. Cheri Kreitzmann, MS, LPC
Title
Owner/Director
Phone
(307) 586-3783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1507 Beck Ave
Cody, WY 82414-3920

Mailing address

1507 Beck Ave
Cody, WY 82414-3920
Phone (307) 586-3783

Other identifiers 1

IdentifierTypeStateIssuer
1497939524MedicaidWY

National Provider Directory

National Provider Directory
Tax ID family
Soar Counseling Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1629486865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 BECK AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143920",
            "telephone_number": "307-586-3783",
            "fax_number": "307-586-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BECK AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143920",
            "telephone_number": "307-586-3783",
            "fax_number": "307-586-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "KREITZMANN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "307-586-3783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497939524",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 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.