HIGH COUNTRY BEHAVIORAL HEALTH (NPI# 1891099545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891099545 |
| Entity Type | Organization |
| Organization Name | HIGH COUNTRY BEHAVIORAL HEALTH |
| Practice Address |
75 Yellow Creek Rd. Ste 105 Evanston WY 82930-5205 |
| Practice Telephone | 3077894224 |
| Practice Fax Number | 3077894225 |
| Mailing Telephone | 3077894224 |
| Mailing Fax Number | 3077894225 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | MR. 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 | 251S00000X | Community/Behavioral Health | WY | Agencies | |
| 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 | 117847400 | 05 |
| 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 |
| 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 |
| 1457472748 | High Country Behavioral Health | Clinic/Center | 389 Adams St., Afton, WY 83110-0376 | 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 |
75 YELLOW CREEK RD. STE 105 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| 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 |
|---|---|---|---|---|
| 1629684543 | Lisa Belgrad Lcsw Pllc | Clinic/Center | 811 Chicago Ave Apt 204, Evanston, IL 60202-2392 | 2020-09-16 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1770859548 | High Country Behavioral Health | Clinic/Center | 100 Yellowstone River Dr, Evanston, WY 82930-5371 | 2012-03-27 |
| 1447200191 | Housing Options for The Mentally Ill In Evanston, Inc | Clinic/Center | 2100 Ridge Ave Ste G320, Evanston, IL 60201-2716 | 2006-05-11 |
| 1578172508 | Lynnshymanlcsw,llc | Clinic/Center | 2530 Crawford Ave Ste 115, Evanston, IL 60201-4954 | 2020-07-27 |
| 1982231759 | New World Psychology LLC | Clinic/Center | 636 Church St Ste 415, Evanston, IL 60201-4580 | 2020-03-23 |
| 1326508763 | Beshers Psychotherapy Services, Ltd | Clinic/Center | 636 Church St Ste 415, Evanston, IL 60201-4580 | 2019-03-21 |
| 1659842417 | Katherine Fruhauff, Psyd, Inc. | Clinic/Center | 2530 Crawford Ave Ste 104, Evanston, IL 60201-4954 | 2018-12-05 |
| 1194226266 | High Desert Psychology and Wellness | Clinic/Center | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2018-02-23 |
| 1790018067 | Youth Organizations Umbrella | Clinic/Center | 1027 Sherman Ave, Evanston, IL 60202-6500 | 2009-09-17 |
| Find all providers in EVANSTON | ||||
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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.