Active NPI
Rising Sun Wellness Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Sheridan, WY
National Provider Identifier
1740318013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RISING SUN WELLNESS CENTER
- Practice address
- 151 W Brundage St
Sheridan, WY 82801 - Phone
- (307) 674-1668
- Fax
- (307) 674-1667
- NPI assigned
- Mar 1, 2007
- 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
- Roderick Foley, MS, LPC, NCC
- Title
- Director
- Phone
- (307) 674-1668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
151 W Brundage St
Sheridan, WY 82801
Mailing address
151 W Brundage St
Sheridan, WY 82801-4217
Phone (307) 674-1668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120820900 | Medicaid | WY | |
| 120820901 | Medicaid | WY |
Other names 1
- Cloud Peak Initiatives
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Ranchester, WY
- NPI 1053606723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609286400000",
"number": "1740318013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W BRUNDAGE ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828014217",
"telephone_number": "307-674-1668",
"fax_number": "307-674-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W BRUNDAGE ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-674-1668",
"fax_number": "307-674-1667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING SUN WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A",
"authorized_official_last_name": "FOLEY",
"authorized_official_first_name": "RODERICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "307-674-1668",
"authorized_official_credential": "MS, LPC, NCC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"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": "120820900",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120820901",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cloud Peak Initiatives",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.