Somatic Revelations, LLC
NPI 1285251967ActiveOrganization· Counselor, Mental Health· Laramie, WY
Counselor, Mental Health in Laramie, Wyoming, registered in NPPES in June 2020. The authorized official on file is Tyler S. Tedmon-Jones, PHD, Provider/Owner.
Overview
| NPI | 1285251967 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2020 |
| Last updated in NPPES | Jan 7, 2025 |
| Certified by provider | Jan 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Dance Therapist | 225600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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