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DR. STEPHANIE ANN KEANE PHD., NCC, LAT, LPC,
NPI 1649507658
Counselor - Mental Health in Cody, WY

Active since November 11, 2009PECOS Enrolled
707 SHERIDAN AVE, CODY, WY 82414(307) 578-2486(307) 578-2247 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stephanie Ann Keane Phd., Ncc, Lat, Lpc, NPPES

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

DR. STEPHANIE ANN KEANE PHD., NCC, LAT, LPC, (NPI 1649507658) is an individual mental health provider in Cody, Wyoming, licensed in Wyoming (728) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649507658
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. STEPHANIE ANN KEANECredential: PHD., NCC, LAT, LPC,
Location Address707 SHERIDAN AVECody, WY 82414-3409
Mailing Address706 Longmont StGillette, WY 82716-2927 · (307) 686-0669 · Fax (307) 686-2121
Phone(307) 578-2486
Fax(307) 578-2247
Sole ProprietorYes
Enumeration DateNovember 11, 2009
Last NPPES UpdateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1649507658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WY · 728
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 206 (WY)
707 SHERIDAN AVE, Cody, WY 82414
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Ann Keane Phd., Ncc, Lat, Lpc, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Keane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Park Hospital District
Same address
End-Stage Renal Disease (ESRD) Treatment
707 SHERIDAN AVE
Cody, WY 82414
  • Reassigned Medicare billing, Wyoming enrollment
  • 181 clinicians in this Medicare group
NPI 1295815744 (307) 527-7501

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

Other Providers at the Same Location NPPES 20

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

GREGORY H CROSS II MD
Radiology (Diagnostic Radiology)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2582
MONIQUE HELENA KEENAN PT, MPT
Physical Therapist
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2452
FRED A SNELSON
Counselor (Addiction (Substance Use Disorder))
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501
LORI TYSON RNFA
Registered Nurse (Registered Nurse First Assistant)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-6293
WEST PARK HOSPITAL HOME HEALTH
Hospice Care, Community Based
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501
STEPHANIE I KNODEL
Emergency Medicine
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2000
MS. SHELLY MARIE GREEN CRNA
Nurse Anesthetist, Certified Registered
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 587-2139
KATHRYN LEE CARTER NP
Nurse Practitioner (Pediatrics, Critical Care)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501

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 Stephanie Keane's NPI number?

The NPI number for Stephanie Keane is 1649507658. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Stephanie Keane located?

Stephanie Keane practices at 707 Sheridan Ave, Cody, WY 82414. The listed phone number is (307) 578-2486.

What is Stephanie Keane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Keane enrolled in Medicare?

Yes. Stephanie Keane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Keane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Keane reassigns Medicare benefits to West Park Hospital District (Cody, WY). The 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 Stephanie Keane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Keane was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.