NORTHERN WYOMING MENTAL HEALTH CENTER, INC. (NPI# 1619021912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619021912 |
| Entity Type | Organization |
| Organization Name | NORTHERN WYOMING MENTAL HEALTH CENTER, INC. |
| Practice Address |
1221 W 5th St Sheridan WY 82801-2701 |
| Practice Telephone | 3076744405 |
| Practice Fax Number | 3076735167 |
| Mailing Telephone | 3076744405 |
| Mailing Fax Number | 3076735167 |
| Enumeration Date | 2007-01-23 |
| 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 | 106078307 | 05 | |
| WY | BCBS | 00721001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1558415927 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1-2 Main St, Sundance, WY 82729-0646 | 2007-01-23 |
| 1386798239 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 521 W Lott St, Buffalo, WY 82834-1642 | 2007-01-22 |
| 1013292473 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1221 W 5th St, Sheridan, WY 82801-2701 | 2011-10-18 |
| 1548545106 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-10-14 |
| 1093090656 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2011-10-14 |
| 1588948673 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2011-10-06 |
| 1952455834 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2007-01-22 |
| Street Address |
1221 W 5TH ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801861703 | Barbara L Denaeyer | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2006-02-22 |
| 1720686611 | Haylee Ann Fleming | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-10-13 |
| 1699373597 | Nysha Rae Soper | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-10-13 |
| 1053951418 | Lelalelei Nomura | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-01-13 |
| 1508339649 | Kevin James Parker | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2019-01-10 |
| 1528549383 | Mary Burgess | Social Worker | 1221 W 5th St, Sheridan, WY 82801-2701 | 2018-08-28 |
| 1215449152 | Skylar Scott | Case Manager/Care Coordinator | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-11-01 |
| 1811408974 | Melony Ray Sanford | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-10-17 |
| 1558889394 | Kelli Ann Johnson | Counselor | 1221 W 5th St, Sheridan, WY 82801 | 2017-08-31 |
| 1639697535 | Jayme R. Ackerman | Case Manager/Care Coordinator | 1221 W 5th St, Sheridan, WY 82801-2701 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| 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 |
|---|---|---|---|---|
| 1154802676 | Peak Mental Health, LLC | Clinic/Center | 120 S. Main St, Suite 102, Sheridan, MT 59749 | 2018-08-23 |
| 1447864046 | Alpine Roots Counseling | Clinic/Center | 1949 Sugarland Dr Ste 221, Sheridan, WY 82801-5766 | 2020-09-02 |
| 1952455834 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2007-01-22 |
| 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.