S48Wy4, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

S48WY4, LLC

Doing business as

Crossroads Counseling Solutions

Practice address

606 23Rd St
Rawlins, WY 82301-5127

Phone

(307) 342-8820

Fax

(307) 333-0261

NPI assigned

Mar 28, 2018

Last updated

Sep 12, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

S48WY1, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Lynn Thompson

Title

President

Phone

(307) 265-3791

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Crossroads Counseling Solutions Doing business as

Part of

S48Wy1 LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• S48Wy1, LLC

  dba Wyoming Recovery

  • Substance Abuse Rehabilitation Facility
  • Casper, WY
  • NPI 1891994950
  NPPES parent name

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1770088130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 23RD ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015127",
            "telephone_number": "307-342-8820",
            "fax_number": "307-333-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 23RD ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015127",
            "telephone_number": "307-342-8820",
            "fax_number": "307-333-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S48WY4, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S48WY1, LLC",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-265-3791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149784700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Counseling Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Romero, BA, MED
• Joseph Rosacker, PHARMD
• Abbey L. Ross
• S48Wy4, LLC (Wyoming Recovery Rawlins)
• S48Wy4, LLC (Wyoming Recovery of Rawlins)
• Johnniejean Sanders
• Keira Lynn Sanders
• Kathryn C. Sapp, LPC
• Corinne R. Schisel
• Kenneth William Schulze Jr., MD

• Substance Use Disorder Rehabilitation Clinic/Center in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.