NORTHERN WYOMING MENTAL HEALTH CENTER (NPI# 1417001330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417001330 |
| Entity Type | Organization |
| Organization Name | NORTHERN WYOMING MENTAL HEALTH CENTER |
| Practice Address |
420 Deanne Ave Newcastle WY 82701-2936 |
| Practice Telephone | 3077464456 |
| Practice Fax Number | 3077464470 |
| Mailing Telephone | 3077464456 |
| Mailing Fax Number | 3077464470 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | PAUL E. DEMPLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3076728958 |
| Authorized Official Credential | MA, 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) |
WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BCBS | 01032001 | 01 |
| WY | 106074106 | 05 |
| Street Address |
420 DEANNE AVE |
| City | NEWCASTLE |
| State | WY |
| Zip Code | 82701-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699702464 | Janelle Nadean Day | Counselor | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2006-06-27 |
| 1881030518 | Starla Jean Hokanson | Case Manager/Care Coordinator | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2013-05-21 |
| 1497012850 | Pamela Anne Bahr | Registered Nurse | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2012-04-23 |
| 1588934350 | John Olenyik | Counselor | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2012-01-10 |
| 1588948673 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2011-10-06 |
| 1790067544 | Nicole Joyce Bloom | Counselor | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2011-09-16 |
| 1760713903 | Leslie Patterson | Social Worker | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2010-01-28 |
| 1558692814 | Diane Kay Ottema Christensen | Registered Nurse | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2010-01-26 |
| 1295063931 | Robert P Lowe | Counselor | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2009-11-18 |
| 1710028899 | Christine Winter | Psychologist | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164812475 | Weston County Pharmacy | Pharmacist | 727a Washington Blvd, Newcastle, WY 82701 | 2015-01-26 |
| 1326385394 | Candice Marie Watt | Counselor | 420 Deanne Avenue, Newcastle, WY 82701 | 2013-01-11 |
| 1619288503 | Zelda M Anderson | Case Manager/Care Coordinator | 466 Oil Creek Road, Newcastle, WY 82701 | 2010-06-25 |
| 1265769772 | Sharon Adean Materi | Case Manager/Care Coordinator | 23038 U.S. Highway 85, Newcastle, WY 82701 | 2009-11-05 |
| 1740424332 | Monte William Straley | Pharmacist | 727 A Washington Blvd, Newcastle, WY 82701 | 2009-04-27 |
| 1669539235 | Weston County Hospital District | Case Management | 725 Washington Blvd, Newcastle, WY 82701 | 2007-01-03 |
| 1154402972 | Weston County Hospital District | Emergency Medicine | 1124 Washington Boulevard, Newcastle, WY 82701 | 2006-10-18 |
| 1841381514 | Newcastle Ambulance Service | Ambulance | 7 W Wenworth, Newcastle, WY 82701 | 2006-09-27 |
| 1750362588 | Michael Lee Carpenter | Physician Assistant | 1121 Washington Ave, Newcastle, WY 82701 | 2005-11-09 |
| 1770887184 | Abi Jo Dysart | Chiropractor | 128 W Main St, Ste G, Newcastle, WY 82701 | 2010-12-28 |
| Find all providers in zip 82701 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on NORTHERN WYOMING MENTAL HEALTH CENTER.
| 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.