COMMUNITY MENTAL HEALTH CENTER OF WYOMING (NPI# 1477008183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477008183 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MENTAL HEALTH CENTER OF WYOMING |
| Practice Address |
3928 Road 9 Burlington WY 82411-9731 |
| Practice Telephone | 3072729224 |
| Mailing Telephone | 3072729224 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | MATTHEW MCNIVEN (DIRECTOR) |
| Authorized Official Telephone | 3072729224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
LPC-860 | WY | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LPC-860 | WY | Ambulatory Health Care Facilities |
| Street Address |
3928 ROAD 9 |
| City | BURLINGTON |
| State | WY |
| Zip Code | 82411-9731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932566643 | Matthew Jay Mcniven | Counselor | 3928 Road 9, Burlington, WY 82411-9731 | 2016-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578992 | Phillip Charles Olson | Counselor | 300 3rd Street, Burlington, WY 82411-0277 | 2016-02-19 |
| 1982228193 | Suzanne Mae Bowser | Dietitian, Registered | 973 Lane 38, Burlington, WY 82411-9700 | 2020-06-03 |
| 1437456043 | Barbie Hart | Counselor | 3712 Road 7, Burlington, WY 82411-9738 | 2011-02-16 |
| 1477929560 | Bar B Ranch & Livestock | Community/Behavioral Health | 3712 Road 7, Burlington, WY 82411-9738 | 2015-08-12 |
| 1790012789 | Sierra Garza | Case Manager/Care Coordinator | 710 Lane 39, Burlington, WY 82411-9739 | 2009-11-11 |
| 1720627102 | Christine Bullinger | Case Manager/Care Coordinator | 4245 Road 10 1/2, Burlington, WY 82411-9750 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1730789686 | Paige Perkins | Licensed Practical Nurse | 5 Hardy Ave, Burlington, VT 05408-1203 | 2020-10-29 |
| 1811596216 | Convenientmd LLC | Clinic/Center | 181 Cambridge St, Burlington, MA 01803-2922 | 2020-10-19 |
| 1982202966 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1433 Boone Station Dr, Burlington, NC 27215-8229 | 2020-10-13 |
| 1578170866 | Private Healthcare Facilities | Clinic/Center | 5617 Spring Valley Rd, Burlington, WI 53105-9003 | 2020-09-30 |
| 1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
| 1619582509 | Cheyanne Mckay Alexander | Technician | 369 Hillbilly Heaven Rd, Burlington, WV 26710-7596 | 2020-09-09 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1689288300 | Barbara A Crotty | Massage Therapist | 2879c Rob Shepard Dr, Burlington, NC 27215-9299 | 2020-09-01 |
| Find all providers in BURLINGTON | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719232 | Psychotherapy Vermont, Plc | Clinic/Center | 269 Pearl St Ste 1, Burlington, VT 05401-8536 | 2019-09-13 |
| 1851831937 | Lillies Place 2 | Clinic/Center | 121 Hazel Dr, Burlington, NC 27217-8311 | 2017-03-08 |
| 1346681426 | Changing Lives Family Care Home LLC | Clinic/Center | 823 Day Ave, Burlington, NC 27217-2505 | 2013-07-17 |
| 1972739126 | Residential Treatment Services of Alamance | Clinic/Center | 631 Crestview Dr, Burlington, NC 27217-1710 | 2009-06-02 |
| 1447484423 | A Solid Foundation | Clinic/Center | 420 Cameron Street, Burlington, NC 27215-5912 | 2009-05-06 |
| 1780282459 | Be Well Mental Health Services, LLC | Clinic/Center | 2 Angela Cir, Burlington, MA 01803-3102 | 2020-10-14 |
| 1871159095 | Legacy Living Center | Clinic/Center | 215 W Ruffin St, Burlington, NC 27217-2643 | 2019-05-13 |
| 1538633953 | Christine Germano, Plc | Clinic/Center | 34 Elmwood Ave, Burlington, VT 05401-4346 | 2019-01-18 |
| 1427576222 | Oaks Integrated Care | Clinic/Center | 1 Beechwood Ln, Burlington, NJ 08016-9769 | 2017-09-01 |
| 1972021855 | Oaks Integrated Care | Clinic/Center | 16 Manor Dr, Burlington, NJ 08016-3011 | 2017-08-31 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 82411 |
Please comment or provide details below to improve the information on COMMUNITY MENTAL HEALTH CENTER OF WYOMING.
| 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.