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Deactivated NPI 1528592474 Deactivated / Inactive NPI Male Practitioner

Charles Lewis

Case Manager/Care Coordinator • Cheyenne, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Lewis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2017
NPI Deactivation Date August 30, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

Charles Lewis was a registered Case Manager/Care Coordinator practicing in Cheyenne, WY. Throughout an active medical career spanning 8 years, Charles Lewis provided care at the practice location at 4025 RAWLINS ST until profile deactivation on 2025-08-30.

Practice Location & Contact Primary Location

Practice Address

4025 Rawlins St

Cheyenne, WY 820011900

Telephone 3074264797
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
257 Specialists

Practicing in Cheyenne, WY (1381 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Eric Williams , LPC

Counselor - Professional

NPI 1043816960

Licensed Professional Counselor

Gilberto Revuelta

Counselor - Mental Health

NPI 1144794744
Mikayla Geringer , BSW

Case Manager/Care Coordinator

NPI 1144848896

Bachelor of Social Work

Dorthea Clark , MA IN MENTAL HEALTH

Counselor - Mental Health

NPI 1154196665

MAINMENTALHEALTH

Rachel Ball , PPC

Counselor - Professional

NPI 1205489432
Danica Prom-Von Rein , LPC

Counselor - Professional

NPI 1215425186

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2025

Case Manager/Care Coordinator

NPI Profile Active September 25, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2017

Registered at 4025 RAWLINS ST, CHEYENNE, WY 820011900 (Tel: 3074264797)

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Updated Business Mailing Address September 25, 2017

Registered at 4025 RAWLINS ST, CHEYENNE, WY 820011900 (Tel: 3074264797)

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Provider Name / Credentials Updated September 25, 2017

Recorded as CHARLES LEWIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Community Health Worker

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2017

Registered at 4025 RAWLINS ST, CHEYENNE, WY 820011900 (Tel: 3074264797)

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Updated Business Mailing Address April 18, 2017

Registered at 4025 RAWLINS ST, CHEYENNE, WY 820011900 (Tel: 3074264797)

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Provider Name / Credentials Updated April 18, 2017

Recorded as CHARLES LEWIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration April 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528592474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2017
Last Update: April 18, 2017
Deactivation Date: August 30, 2025

Mailing Address

4025 Rawlins St

Cheyenne, WY 820011900

Phone: 3074264797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.