Active NPI
Outside Therapy LLC
- Professional Counselor
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- OUTSIDE THERAPY LLC
- Practice address
- 1918 Thomes Ave
Cheyenne, WY 82001-3527 - Phone
- (307) 313-2777
- NPI assigned
- Apr 27, 2024
- 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
- Alyse Pfankuch, MA LPC
- Title
- Therapist
- Phone
- (307) 221-0317
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1918 Thomes Ave
Cheyenne, WY 82001-3527
Mailing address
4726 Mountain Rd Apt 520
Cheyenne, WY 82009-5157
Phone (307) 221-0317
Other practice location 1
1050 N 3rd St Ste K
Laramie, WY 82072-2543
Phone (307) 221-0317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1520 Logan Ave
Cheyenne, WY 82001
Phone (970) 225-1581
1918 Thomes Ave
Cheyenne, WY 82001
Phone (307) 221-0317
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Cheyenne, WY
- NPI 1962167098
-
- Clinical Social Worker
- Cheyenne, WY
- NPI 1871123117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743811200000",
"number": "1902652274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4726 MOUNTAIN RD APT 520",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820095157",
"telephone_number": "307-221-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 THOMES AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013527",
"telephone_number": "307-313-2777"
}
],
"practiceLocations": [
{
"address_1": "1050 N 3rd St Ste K",
"address_purpose": "LOCATION",
"city": "Laramie",
"state": "WY",
"postal_code": "820722543",
"country_code": "US",
"telephone_number": "307-221-0317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OUTSIDE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-27",
"last_updated": "2025-04-05",
"certification_date": "2025-04-05",
"status": "A",
"authorized_official_last_name": "PFANKUCH",
"authorized_official_first_name": "ALYSE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "307-221-0317",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"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 Apr 5, 2025; 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.