HIGH COUNTRY BEHAVIORAL HEALTH (NPI# 1457472748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457472748 |
| Entity Type | Organization |
| Organization Name | HIGH COUNTRY BEHAVIORAL HEALTH |
| Other Organization Name | HIGH COUNTRY COUNSELING AND RESOURCE CENTERS |
| Practice Address |
389 Adams St. Afton WY 83110-0376 |
| Mailing Address |
Po Box 376 Afton WY 83110-0376 |
| Practice Telephone | 3078859883 |
| Practice Fax Number | 3078855206 |
| Mailing Telephone | 3078859883 |
| Mailing Fax Number | 3078855206 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | KIPP L DANA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3078859883 |
| Authorized Official Credential | LPC-LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
LAT-220 | WY | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
405 | WY | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LPC-550 | WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 117699401 | 05 | |
| WY | 117847400 | 05 |
| Other Name | Type Code |
|---|---|
| High Country Counseling and Resource Centers | Former Legal Business 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 |
| 1295379865 | High Country Behavioral Health | Clinic/Center | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-11-06 |
| 1730450867 | High Country Behavioral Health | Clinic/Center | 21 7th St, Mountain View, WY 82939 | 2012-01-20 |
| Street Address |
389 ADAMS ST. |
| City | AFTON |
| State | WY |
| Zip Code | 83110-0376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492750 | Reed Lesuma | Social Worker | 389 Adams St., Afton, WY 83110-0376 | 2018-09-28 |
| 1881096352 | Casandra M. Barker | Counselor | 389 Adams St., Box 376, Afton, WY 83110-0376 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| 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 |
|---|---|---|---|---|
| 1366082208 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 138 S Main St, Afton, OK 74331-1822 | 2020-01-08 |
| 1841600863 | Grand Lake Mental Health Center Inc. | Clinic/Center | 138 S Main, Afton, OK 74331-1822 | 2014-04-29 |
| 1316954431 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 138 S. Main, Afton, OK 74331-1822 | 2006-08-02 |
| 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 | ||||
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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.