MS. CHERYL ANN RENZULLI MA, LAT
NPI 1093255242
Counselor - Addiction (Substance Use Disorder) in Jackson, WY

Active since March 06, 2017
1115 MAPLE WAY, SUITE C, JACKSON, WY 83001(307) 699-0807(307) 733-7339 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Cheryl Ann Renzulli Ma, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHERYL ANN RENZULLI MA, LAT (NPI 1093255242) is an individual addiction (substance use disorder) provider in Jackson, Wyoming, licensed in Wyoming (LAT #324) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1093255242
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. CHERYL ANN RENZULLICredential: MA, LAT
Location Address1115 MAPLE WAY, SUITE CJackson, WY 83001-8567
Mailing AddressPo Box 9615Jackson, WY 83002-9615 · (307) 699-0807 · Fax (307) 733-7339
Fax(307) 733-7339
Sole ProprietorYes
Enumeration DateMarch 6, 2017
NPI 1093255242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WY · LAT #324
1115 MAPLE WAY, Jackson, WY 83001

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1115 MAPLE WAY
JACKSON, WY 83001
Psychologist
1115 MAPLE WAY, SUITE D
JACKSON, WY 83001
Dentist
1115 MAPLE WAY
JACKSON, WY 83001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl Renzulli's NPI number?

The NPI number for Cheryl Renzulli is 1093255242. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Cheryl Renzulli located?

Cheryl Renzulli practices at 1115 Maple Way Suite C, Jackson, WY 83001. The listed phone number is (307) 699-0807.

What is Cheryl Renzulli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Cheryl Renzulli accept?

Health plans from Blue Cross Blue Shield of Wyoming list Cheryl Renzulli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheryl Renzulli was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.