Active NPI
Chelcy Green
- Counselor
- Riverton, WY
National Provider Identifier
1760255483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1427
- Practice address
- 511 N 12TH St E
Riverton, WY 82501-3805 - Phone
- (307) 438-9618
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1427 | WY | Primary |
Addresses
Primary practice location
511 N 12TH St E
Riverton, WY 82501-3805
Mailing address
511 N 12TH St E
Riverton, WY 82501-3805
Phone (307) 438-9618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1427 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1760255483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N 12TH ST E",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825013805",
"telephone_number": "307-438-9618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N 12TH ST E",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825013805",
"telephone_number": "307-438-9618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CHELCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "1427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.