Eagle Rock Counseling Services LLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EAGLE ROCK COUNSELING SERVICES LLC.

Doing business as

Eagle Rock Counseling Services

Practice address

235 E Main St
Lovell, WY 82431-2101

Phone

(307) 272-8798

NPI assigned

Jan 24, 2024

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Cordova, LPCNPI 1073978920

Title

Owner

Phone

(307) 272-8798

Specialties & licenses 1

Addresses

Other names 1

• Eagle Rock Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

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.

• Charles Joseph Cordova, LPC

  • Professional Counselor
  • Lovell, WY
  • NPI 1073978920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1699537894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MONTANA AVE",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824311810",
            "telephone_number": "307-272-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E MAIN ST",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824312101",
            "telephone_number": "307-272-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ROCK COUNSELING SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-272-8798",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Rock Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Rock Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cloud Peak Counseling Center (Oxbow Center)
• Connections Counseling Inc
• Charles Joseph Cordova, LPC
• Kaitlyn Davidson
• Shelly Ann Degroat, CNA
• Tiana Ellison
• Chad Collins Emmett, RPH
• Kenneth W. Ferbrache, P.A.
• Wendy Files
• Katherine Fink

• Professional Counselor in Lovell, WY
• Providers in Lovell, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.