Simply Reflective Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SIMPLY REFLECTIVE THERAPY LLC

Practice address

373 Lane 9
Powell, WY 82435-8424

Phone

(307) 306-5088

Fax

(307) 201-4770

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Emily Kay Green, LCSWNPI 1265818090

Title

Owner/Operator

Phone

(307) 259-3672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Kay Green, LCSW

  • Clinical Social Worker
  • Powell, WY
  • NPI 1265818090

  WY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1902629454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 LANE 9",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824358424",
            "telephone_number": "307-306-5088",
            "fax_number": "307-201-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 LANE 9",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824358424",
            "telephone_number": "307-306-5088",
            "fax_number": "307-201-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY REFLECTIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "307-259-3672",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Shedd, CRNA
• Katherine Baxter Shelby, LCSW
• Shopko Stores Operating Co LLC
• Trisha Meredith Shorb
• Kelly K. Simone, PA
• Coltan Slater
• Peter D Sloan, PCSW
• Sharon Leigh Smith, PT
• Ashton Troy Soloai, OD
• Brett Soloai

• All providers in Powell, WY
• Community/Behavioral Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.