Individual provider Active NPI

Roxanne Wilson, CAP

  • Addiction (Substance Use Disorder) Psychologist
  • Arapahoe, WY
National Provider Identifier
1659828408
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
LAT-423 Issued in WY
Practice address
24 Great Plains Rd
Arapahoe, WY 82510
Phone
(307) 352-6677
NPI assigned
Sep 8, 2016
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP-082 WY
Addiction (Substance Use Disorder) Psychologist 103TA0400X LAT-423 WY Primary

Addresses

Primary practice location

24 Great Plains Rd
Arapahoe, WY 82510

Mailing address

PO Box 190
St Stephens, WY 82524-0190
Phone (307) 856-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119004457 WY Practitioner - Addiction Medicine 0749628154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of WyomingGroup PAC ID 4183607054, 40 clinicians

Practice addresses (Care Compare)

1522 E a St
Casper, WY 82601-2217
Phone (307) 431-5055

820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 431-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAT-423WYMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Speech and Hearing Clinic CurrentSince Sep 14, 2025 Accepting new patients
University of Wyoming Current Accepting new patients
University of Wyoming Past Accepting new patients
White Buffalo Recovery Center Past Accepting new patients

Locations

1522 E A St
Casper, WY 82601
Phone (307) 233-6000

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

2710 Harney St
Ste 202
Laramie, WY 82072
Phone (307) 742-3242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1659828408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ST STEPHENS",
            "state": "WY",
            "postal_code": "825240190",
            "telephone_number": "307-856-0470",
            "fax_number": "307-857-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GREAT PLAINS RD",
            "city": "ARAPAHOE",
            "state": "WY",
            "postal_code": "82510",
            "telephone_number": "307-352-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROXANNE",
        "credential": "CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "CAP-082",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT-423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arapahoe, WY

Sources for this page

Verify at the official NPI Registry.