HIGH COUNTRY BEHAVIORAL HEALTH (NPI# 1235350034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235350034 |
Entity Type | Organization |
Organization Name | HIGH COUNTRY BEHAVIORAL HEALTH |
Other Organization Name | WELLSPRING COUNSELING |
Practice Address |
121 S 4th St Thermopolis WY 82443-2634 |
Practice Telephone | 3078643138 |
Practice Fax Number | 3078643139 |
Mailing Telephone | 3078643138 |
Mailing Fax Number | 3078643139 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2019-10-28 |
Authorized Official Name | KIPP DANA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3078859883 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 108969204 | 05 |
Other Name | Type Code |
---|---|
Wellspring Counseling | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
1770859548 | High Country Behavioral Health | Clinic/Center | 100 Yellowstone River Dr, Evanston, WY 82930-5371 | 2012-03-27 |
1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
1942571807 | High Country Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 34 Powder River Court, Evanston, WY 82930-5371 | 2012-01-24 |
1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
1508058173 | High Country Behavioral Health | Clinic/Center | 24 Country Club Lane, Pinedale, WY 82941-0856 | 2007-08-16 |
1972624062 | High Country Behavioral Health | Clinic/Center | 821 Sage Ave, Kemmerer, WY 83101-3127 | 2007-04-03 |
1457472748 | High Country Behavioral Health | Clinic/Center | 389 Adams St., Afton, WY 83110-0376 | 2007-04-03 |
1295379865 | High Country Behavioral Health | Clinic/Center | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-11-06 |
Street Address |
121 S 4TH ST |
City | THERMOPOLIS |
State | WY |
Zip Code | 82443-2634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073155339 | Chellidy Simpson | Peer Specialist | 121 S 4th St, Thermopolis, WY 82443-2634 | 2019-10-08 |
1699212670 | Jenny Davis | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2017-01-27 |
1396103487 | Phillip Edward Archibald | Social Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2016-02-03 |
1508259581 | Marneta Welborn | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2015-03-14 |
1477973931 | Tina Mcginty | Community Health Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2014-04-23 |
1679813554 | Joseph B. Stringer | Counselor | 121 S 4th St, Thermopolis, WY 82443 | 2013-02-28 |
1073860870 | Jacqueline A Schwalbe | Case Manager/Care Coordinator | 121 S 4th St, Thermopolis, WY 82443-2634 | 2012-08-10 |
1033464557 | Kevin Bentch | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2012-07-20 |
1841559192 | Paula Jean Shankle | Counselor | 121 S 4th St, Thermopolis, WY 82443-2634 | 2012-05-07 |
1033487939 | Becky Martinez | Community Health Worker | 121 S 4th St, Thermopolis, WY 82443-2634 | 2011-12-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992938419 | Garry Freel | Case Manager/Care Coordinator | 844 Richards St., Thermopolis, WY 82443 | 2009-09-01 |
1467600783 | Jantina Anna Manning | Speech-Language Pathologist | 130 Highway 20 South, Thermopolis, WY 82443 | 2008-08-28 |
1982882924 | Glenn E Bishop | Chiropractor | 526 Big Horn, Thermopolis, WY 82443 | 2008-02-01 |
1801080874 | Karen April Leyba | Speech-Language Pathologist | 1025 Shoshoni Rd, Thermopolis, WY 82443 | 2007-08-31 |
1043403199 | Marcia Ann Nelson | Occupational Therapist | 1025 Shoshoni, Childrens Resource Center, Thermopolis, WY 82443 | 2007-08-22 |
1639217144 | Northwest Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 250 East Arapahoe Street, Thermopolis, WY 82443 | 2007-02-05 |
1144368366 | Guy C Drake | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2007-02-01 |
1245719475 | Mitchell F Volin | Physician Assistant | 120 N C Ave, Thermopolis, WY 82443 | 2018-08-08 |
1639586571 | Mary Margaret Brown | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2014-07-11 |
1982932265 | Paintbrush Dental, PC | Clinic/Center | 110 E Arapahoe St, Thermopolis, WY 82443 | 2009-11-25 |
Find all providers in zip 82443 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871103127 | Lupine Mental Health and Integrative Psychiatry LLC | Clinic/Center | 125 E Pearl Ave Ste 207, Jackson, WY 83001-8599 | 2020-08-02 |
1679199897 | Wyoming Trauma Treatment Center | Clinic/Center | 800 Werner Ct Ste 258, Casper, WY 82601-1324 | 2020-06-23 |
1225693872 | Himes Counseling LLC | Clinic/Center | 113 S Gillette Ave Ste 215, Gillette, WY 82716-3741 | 2019-05-08 |
1528538931 | Whole Life Counseling LLC | Clinic/Center | 1800 W 4j Rd, Gillette, WY 82718-9109 | 2018-11-28 |
1295211787 | Nicole Rue, Psy.d., LLC | Clinic/Center | 1115 Maple Way Ste D, Jackson, WY 83001-8567 | 2018-07-17 |
1619465838 | Elevate Counseling | Clinic/Center | 116 5th St Ste 8, Rawlins, WY 82301-5632 | 2018-04-23 |
1649795907 | Cowboy Psychological Services PC | Clinic/Center | 1123 Big Horn Ave Ste A, Worland, WY 82401-2814 | 2017-08-08 |
1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
1245605344 | Magellan Healthcare | Clinic/Center | 8035 W Chalk Creek Rd, Casper, WY 82604-1744 | 2015-12-01 |
1700258514 | Peaceful Minds, LLC | Clinic/Center | 1300 E A St Ste 101, Casper, WY 82601-2211 | 2015-10-20 |
Find all providers with the same taxonomy |
City | THERMOPOLIS |
Zip Code | 82443 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.