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FERN RIDGE COUNSELING, LLC
NPI 1124521547
Social Worker - Clinical in Cody, WY

Active since March 12, 2018

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2021, Oct 9, 2018, Jun 12, 2018 and 1 more (4 updates tracked since 2018).

About Fern Ridge Counseling, Llc NPPES

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

FERN RIDGE COUNSELING, LLC (NPI 1124521547) is a healthcare organization registered as a clinical in Cody, Wyoming and active in the NPI registry since March 2018. The organization lists Neisha M Potter, Owner, Therapist, as its authorized official.

NPPES Registry Identity

NPI1124521547
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFERN RIDGE COUNSELING, LLC
Location Address1120 BECK AVECody, WY 82414-3624
Mailing Address1120 Beck AveCody, WY 82414-3624 · (307) 250-0194
Phone(307) 578-7601
Organization SubpartNo
Authorized OfficialNeisha M PotterOwner, Therapist · (307) 578-7601
Enumeration DateMarch 12, 2018
Last NPPES UpdateAugust 24, 20214 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1124521547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WY · LCSW-1090
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1120 BECK AVE, Cody, WY 82414
Open in Google Maps ↗

Other Identifiers 2

Medicaid143514100WY
Medicaid149339600WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fern Ridge Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fern Ridge Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neisha Potter, LCSW
Clinical Social Worker
NPI 1275997470
1120 BECK AVE
Cody, WY 82414
(307) 578-7601
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fern Ridge Counseling, LLC's NPI number?

The NPI number for Fern Ridge Counseling, LLC is 1124521547. It was assigned to this organization in the NPPES registry on March 12, 2018.

Where is Fern Ridge Counseling, LLC located?

Fern Ridge Counseling, LLC is located at 1120 Beck Ave, Cody, WY 82414. The listed phone number is (307) 578-7601.

What is Fern Ridge Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Fern Ridge Counseling, LLC enrolled in Medicare?

Yes. Fern Ridge Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fern Ridge Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Fern Ridge Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fern Ridge Counseling, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Fern Ridge Counseling, LLC 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 Fern Ridge Counseling, LLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.