JACOB STOTLER (NPI# 1285252791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285252791 |
| Entity Type | Individual |
| Full Name | JACOB STOTLER |
| Practice Address |
2005 Warren Ave Cheyenne WY 82001-3725 |
| Mailing Address |
3601 Dillon Ave Apt A Cheyenne WY 82001-1182 |
| Practice Telephone | 3074264855 |
| Mailing Telephone | 3076771618 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
193200000X | WY | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | WY | Other Service Providers |
| Street Address |
2005 WARREN AVE |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639575533 | Tammi Rhuve Miller | Counselor | 2005 Warren Ave, Cheyenne, WY 82001-3725 | 2014-11-05 |
| 1043850811 | Amanda Bullock | Counselor | 2005 Warren Ave, Cheyenne, WY 82001-3725 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585476 | Amanda Marie Mccarty | Case Manager/Care Coordinator | 3122 Thomes Ave, Cheyenne, WY 82001-2552 | 2020-10-15 |
| 1326658451 | Joni Lyn Edwards | Case Manager/Care Coordinator | 1911 Silverton Dr, Cheyenne, WY 82001-8501 | 2020-08-04 |
| 1619591625 | Jason Coston | Case Manager/Care Coordinator | 215 Walterscheid Blvd Apt E107, Cheyenne, WY 82007-2455 | 2020-06-04 |
| 1366063786 | Angela Marie Silvester | Case Manager/Care Coordinator | 3400 S Greeley Hwy Lot 50, Cheyenne, WY 82007-9730 | 2020-04-27 |
| 1053942144 | Sadie Leigh Elliott | Case Manager/Care Coordinator | 300 E Prosser Rd Lot 71, Cheyenne, WY 82007-3154 | 2020-01-28 |
| 1285284596 | Jennifer Corrine Quinlivan | Case Manager/Care Coordinator | 2325 E 12th St, Cheyenne, WY 82001-5207 | 2019-09-18 |
| 1932762473 | Angela Folds | Case Manager/Care Coordinator | 709 Oakhurst Dr, Cheyenne, WY 82009-1053 | 2019-04-19 |
| 1215499934 | Robin Truax | Case Manager/Care Coordinator | 7501 Max Ct, Cheyenne, WY 82009-1868 | 2019-04-02 |
| 1427515469 | Jennifer Blair | Case Manager/Care Coordinator | 701 W Dale Blvd, Cheyenne, WY 82009-5930 | 2019-02-26 |
| 1861959157 | Danielle Ingleby | Case Manager/Care Coordinator | 1511 Pinion Dr, Cheyenne, WY 82001-5856 | 2019-02-22 |
| Find all providers in CHEYENNE | ||||
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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.