CASSITY NAN GOETZ (PPC) – Counselor, NPI 1144091059

CASSITY NAN GOETZ (PPC) is a healthcare provider. based in Gillette, Wyoming. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PPC. They hold a License No. PPC-1437 (WY). The NPI Number for CASSITY NAN GOETZ (PPC) is 1144091059

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CASSITY NAN GOETZ (PPC)
NPI
1144091059
Phone
(307) 257-2331
Address
542 RUNNING W DR
Enumeration Date
10 January 2024
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072572331
Graduation Year
2023 (3 years ago)
PAC ID
8123524071
Group Practice PAC ID
7315274883
Professional Enrollment ID
I20250930004428
Address ID
WY827182074GI542XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

271 MENTAL HEALTH COUNSELOR in WY

Provider Addresses for CASSITY NAN GOETZ (PPC)

  • 542 RUNNING W DR

    GILLETTE, WY 827182074

    Phone: (307) 257-2331

    Fax: (307) 670-8042

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250930004428IMental Health CounselorWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315274883View full group profile
NameSpecialtyState
Mental Health CounselorCO
Mental Health CounselorWY
Clinical Social WorkerWY
Mental Health CounselorWY
Mental Health CounselorWY
Mental Health CounselorCO
Mental Health CounselorWY
-NV

Reviews

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Frequently asked questions

Does CASSITY NAN GOETZ (PPC) have a public NPI I can cite?
Public records show CASSITY NAN GOETZ (PPC) under NPI 1144091059.
Should I treat CASSITY NAN GOETZ (PPC) as an active provider?
Patients and plans typically see CASSITY NAN GOETZ (PPC) as active in the national extract.
What services align with CASSITY NAN GOETZ (PPC)'s listing?
CASSITY NAN GOETZ (PPC)'s public classification highlights Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit CASSITY NAN GOETZ (PPC) in Gillette, Wyoming?
For routing, start with Gillette, Wyoming for CASSITY NAN GOETZ (PPC), then verify phone and hours locally.
Can I export CASSITY NAN GOETZ (PPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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