Active NPI
Soar Counseling Services, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Cody, WY
National Provider Identifier
1629486865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2014
- 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
- Mrs. Cheri Kreitzmann, MS, LPC
- Title
- Owner/Director
- Phone
- (307) 586-3783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497939524 | Medicaid | WY |
National Provider Directory
National Provider Directory- Tax ID family
- Soar Counseling Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Cody, WY
- NPI 1790115434
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.