PEAK WELLNESS CENTER (NPI# 1780911313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780911313 |
| Entity Type | Organization |
| Organization Name | PEAK WELLNESS CENTER |
| Practice Address |
510 W 29th St Cheyenne WY 82001-2760 |
| Practice Telephone | 3076329362 |
| Practice Fax Number | 3076352797 |
| Mailing Telephone | 3076329362 |
| Mailing Fax Number | 3076352797 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | ROBERT MATHIAS KAISER (HR DIRECTOR) |
| Authorized Official Telephone | 3076329362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106079100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922391804 | Peak Wellness Center | Clinic/Center | 805 Pine Street, Pine Bluffs, WY 82082 | 2011-05-25 |
| 1346481132 | Peak Wellness Center | Clinic/Center | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2009-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEAK WELLNESS CENTER | 510 W 29th St, Cheyenne, WY 82001-2760 |
| Colorado Business Entities | Peak Wellness Center, LLC | 1550 Niagara Road, Montrose, CO 81401 |
| Street Address |
510 W 29TH ST |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268659 | Karla Jean Gilmore | Counselor | 510 W 29th St, Cheyenne, WY 82001-2760 | 2005-07-12 |
| 1295333011 | Todd Teske | Case Manager/Care Coordinator | 510 W 29th St, Cheyenne, WY 82001-2760 | 2020-10-14 |
| 1063045383 | Melanie Rene Reuer | Registered Nurse | 510 W 29th St, Cheyenne, WY 82001-2760 | 2020-02-14 |
| 1063052546 | Charleen Nicholson | Community Health Worker | 510 W 29th St, Cheyenne, WY 82001-2760 | 2020-01-13 |
| 1912543232 | Cora Villeneuve | Community Health Worker | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-11-21 |
| 1780227991 | Carolyn Becker Pignataro | Nurse Practitioner | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-10-21 |
| 1326680307 | Lorraine Wilcox | Registered Nurse | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-10-11 |
| 1609427327 | Sharon Cox | Licensed Practical Nurse | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-09-24 |
| 1982256145 | Tyler Duncil | Case Manager/Care Coordinator | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-07-09 |
| 1417517822 | Ashlee Adams | Community Health Worker | 510 W 29th St, Cheyenne, WY 82001-2760 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625144 | Krystal Dawn Foy | Community/Behavioral Health | 6811 Troyer Dr, Cheyenne, WY 82007-9222 | 2020-07-03 |
| 1851914394 | Amanda Mccommon | Community/Behavioral Health | 2119 E 18th St, Cheyenne, WY 82001-5023 | 2020-05-19 |
| 1831742196 | Susan Ann Davis | Community/Behavioral Health | 362 Patton Ave, Cheyenne, WY 82007-1183 | 2019-07-16 |
| 1093276545 | Andy Edwards | Community/Behavioral Health | 7003 Tumbleweed Dr Apt D, Cheyenne, WY 82009-1037 | 2019-03-27 |
| 1629448790 | Independent | Community/Behavioral Health | 110 Montalto Dr Unit D, Cheyenne, WY 82007-6514 | 2015-10-01 |
| 1477962074 | Rescare Behavior Services, Inc. | Community/Behavioral Health | 2113 Steve Ave, Suite 8, Cheyenne, WY 82007-3450 | 2014-08-07 |
| 1013362235 | Erin Fausset | Community/Behavioral Health | 3701 Ridge Rd, Cheyenne, WY 82001-1739 | 2016-04-25 |
| 1447614169 | Yana Counseling, LLC | Community/Behavioral Health | 1603 Capitol Ave Ste 402, Cheyenne, WY 82001-4562 | 2016-04-08 |
| 1558725317 | Danelle Medina | Community/Behavioral Health | 3701 Ridge Rd, Cheyenne, WY 82001-1739 | 2016-04-07 |
| 1386007888 | Healing Spirit | Community/Behavioral Health | 1001 W 31st St, Cheyenne, WY 82001-2442 | 2016-04-01 |
| Find all providers in CHEYENNE | ||||
Please comment or provide details below to improve the information on PEAK WELLNESS 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.