Organization Active NPI

Trauma and Supportive Counseling Tasc

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1770200602
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRAUMA AND SUPPORTIVE COUNSELING TASC
Practice address
1705 Albany Ave Ste 800
Cheyenne, WY 82001-5027
Phone
(307) 757-6014
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Ms. Sandra Brausch, LCSW
Title
Owner/Authorized Official
Phone
(303) 757-6014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1705 Albany Ave Ste 800
Cheyenne, WY 82001-5027

Mailing address

1705 Albany Ave Ste 800
Cheyenne, WY 82001-5027
Phone (303) 757-6014

National Provider Directory

National Provider Directory

Locations

1705 Albany Ave
Ste 800
Cheyenne, WY 82001
Phone (307) 757-6014

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1770200602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 ALBANY AVE STE 800",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015027",
            "telephone_number": "303-757-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 ALBANY AVE STE 800",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015027",
            "telephone_number": "307-757-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA AND SUPPORTIVE COUNSELING TASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "BRAUSCH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "303-757-6014",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.