S48WY4, LLC (NPI# 1770088130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770088130 |
| Entity Type | Organization |
| Organization Name | S48WY4, LLC |
| Other Organization Name | CROSSROADS COUNSELING SOLUTIONS |
| Practice Address |
606 23rd St Rawlins WY 82301-5127 |
| Practice Telephone | 3073428820 |
| Practice Fax Number | 3073330261 |
| Mailing Telephone | 3073428820 |
| Mailing Fax Number | 3073330261 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MS. LYNN THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 3072653791 |
| Is Organization Subpart | Y |
| Parent Organization Name | S48WY1, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 149784700 | 05 |
| Other Name | Type Code |
|---|---|
| Crossroads Counseling Solutions | Doing Business As Name - Organization |
| Street Address |
606 23RD ST |
| City | RAWLINS |
| State | WY |
| Zip Code | 82301-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023038510 | Rawlins Family Medical, PC | Family Medicine | 606 23rd St, Rawlins, WY 82301-5127 | 2006-07-20 |
| 1396289476 | Purple Sage Tele-home Health LLC | Home Health | 606 23rd St, Rawlins, WY 82301-5127 | 2016-12-08 |
| 1699145698 | Shandra Shepard | Nurse Practitioner | 606 23rd St, Rawlins, WY 82301-5127 | 2015-10-02 |
| 1174993554 | Samantha Zomar Howley | Counselor | 606 23rd St, Rawlins, WY 82301-5127 | 2015-09-29 |
| 1093065237 | William Peter Clark | Social Worker | 606 23rd St, Rawlins, WY 82301-5127 | 2012-09-14 |
| 1679803530 | Richard Gene Kinder | Physician Assistant | 606 23rd St, Rawlins, WY 82301-5127 | 2009-12-28 |
| 1023031861 | Marvin Wayne Couch II | Family Medicine | 606 23rd St, Rawlins, WY 82301-5127 | 2006-07-25 |
| 1902829773 | Jim P Pederson | Physician Assistant | 606 23rd St, Rawlins, WY 82301-5127 | 2006-07-25 |
| 1841210333 | Rawlins Urgent Care, Inc | General Practice | 606 23rd St, Rawlins, WY 82301-5127 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583606 | Kyliah Petrita Ferris | Speech-Language Pathologist | 1801 Edinburgh Street #2, Rawlins, WY 82301 | 2020-09-16 |
| 1427571454 | Levi Pearce Brinkerhoff | Dentist | 2900 S Higley Blvd, Rawlins, WY 82301 | 2017-07-21 |
| 1861928012 | Stephanie Murry | Speech-Language Pathologist | 1801 Edinburgh, Rawlins, WY 82301 | 2017-05-10 |
| 1992167811 | Gwen Louise Gale | Registered Nurse | 2 North Cherokee Rd, Rawlins, WY 82301 | 2016-03-22 |
| 1194109520 | Alison Brown | Case Management | 2014 E Cedar St Suite B, Rawlins, WY 82301 | 2015-07-15 |
| 1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
| 1093149965 | Michele Dolores Deherrera | Social Worker | 1800 Edinburgh, Rawlins, WY 82301 | 2013-08-28 |
| 1295019693 | Amber Jeanne Green | Case Manager/Care Coordinator | 1209 Lambda Dr, Rawlins, WY 82301 | 2011-10-04 |
| 1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
| 1588990949 | Skylar Jason Brenden | Chiropractor | 801 West Maple, Rawlins, WY 82301 | 2009-10-20 |
| Find all providers in zip 82301 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837682 | Chrysalis Treatment Center, Inc. | Clinic/Center | 137 S Division St, Powell, WY 82435-2409 | 2018-10-16 |
| 1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
| 1902213093 | White Buffalo Recovery Center | Clinic/Center | #22 Great Plains Rd, Arapahoe, WY 82510 | 2014-07-21 |
| 1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
| 1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
| 1265751309 | Eastern Shoshone Recovery | Clinic/Center | #7 Shipton Lane, Fort Washakie, WY 82514-0538 | 2010-05-28 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1578765749 | With Eagle's Wings | Clinic/Center | 11 Great Plain Road, Arapahoe, WY 82524-0197 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.