Organization Active NPI

Southern Wyoming Counseling LLC

  • Professional Counselor
  • Hanna, WY
National Provider Identifier
1639820343
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUTHERN WYOMING COUNSELING LLC
Practice address
1007 Jade Dr # C
Hanna, WY 82327-5056
Phone
(435) 232-4493
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Megan Larsen
Title
Admin/Billing
Phone
(801) 949-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1007 Jade Dr # C
Hanna, WY 82327-5056

Mailing address

PO Box 791
Hanna, WY 82327-0791
Phone (435) 232-4493

Other practice location 1

214 4th St # 10
Rawlins, WY 82301-5664
Phone (435) 232-4493

National Provider Directory

National Provider Directory

Locations

214 4th St
#10
Rawlins, WY 82301
Phone (435) 232-4493

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1639820343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "HANNA",
            "state": "WY",
            "postal_code": "823270791",
            "telephone_number": "435-232-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 JADE DR # C",
            "city": "HANNA",
            "state": "WY",
            "postal_code": "823275056",
            "telephone_number": "435-232-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 4th St # 10",
            "address_purpose": "LOCATION",
            "city": "Rawlins",
            "state": "WY",
            "postal_code": "823015664",
            "country_code": "US",
            "telephone_number": "435-232-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN WYOMING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ADMIN/BILLING",
        "authorized_official_telephone_number": "801-949-1447"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanna, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.