TETON YOUTH AND FAMILY SERVICES (NPI# 1144414780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144414780 |
| Entity Type | Organization |
| Organization Name | TETON YOUTH AND FAMILY SERVICES |
| Other Organization Name | RED TOP MEADOWS |
| Practice Address |
7905 S. Fall Creek Rd. Wilson WY 83014-0290 |
| Mailing Address |
Po Box 290 Wilson WY 83014-0290 |
| Practice Telephone | 3077339098 |
| Practice Fax Number | 3077337672 |
| Mailing Telephone | 3077339098 |
| Mailing Fax Number | 3077337672 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | BRUCE BURKLAND (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3077339098 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1518 | WY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Red Top Meadows | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288491 | Teton Youth and Family Services | Community/Behavioral Health | 510 S. Cache Dr., Jackson, WY 83001-2631 | 2007-07-20 |
| Street Address |
7905 S. FALL CREEK RD. |
| City | WILSON |
| State | WY |
| Zip Code | 83014-0290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765908 | Alexis Victoria Gibson | Marriage & Family Therapist | 7905 S. Fall Creek Rd., Wilson, WY 83014 | 2020-06-19 |
| 1073826384 | Red Top Meadows | Counselor | 7905 S. Fall Creek Rd., Wilson, WY 83014 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1578121588 | Nina Clark Lex | Physical Therapist | 1230 N Fall Creek Rd, Wilson, WY 83014 | 2019-06-04 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1902307952 | Joseph Anthony Sorge | Medical Genetics | 5320 Pine Meadow Road, Wilson, WY 83014 | 2018-02-26 |
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1740657261 | Peter Moffatt | Counselor | 7905 South Fall Creek Road, Wilson, WY 83014 | 2015-09-01 |
| 1669722419 | Jeremy Silcox | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2012-09-19 |
| 1649533811 | Harriet Elizabeth Wardle | Social Worker | 3850 N Wilderness Dr, Wilson, WY 83014 | 2012-06-21 |
| 1205197043 | Laura Lea Perez | Psychologist | 3850 North Wilderness Dr., Wilson, WY 83014 | 2012-06-07 |
| 1306105689 | William Douglas Odell | Specialist | 5445 Cottonwood Canyon Road, Wilson, WY 83014 | 2012-05-08 |
| Find all providers in zip 83014 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215338231 | Mary's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1808 Birchwood Dr Se, Wilson, NC 27893-6476 | 2014-09-09 |
| 1447594304 | Carepointe Behavioral Health Services | Residential Treatment Facility, Emotionally Disturbed Children | 501 Spaulding St Se, Wilson, NC 27893-6455 | 2012-11-15 |
| 1801159447 | Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83014-0240 | 2012-06-19 |
| 1831324284 | Phillips Residential Care | Residential Treatment Facility, Emotionally Disturbed Children | 305 Thurston Dr W, Wilson, NC 27893-2854 | 2009-05-28 |
| 1437390341 | First Step Residential Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1009 Lodge St S, Wilson, NC 27893-5801 | 2009-03-23 |
| 1992945828 | Elegant Ladies of The Future, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3720 Martha Ln N, Wilson, NC 27896-8636 | 2009-03-05 |
| 1811135346 | Second Chance Residential Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3310 Martin Luther King Jr Pkwy Se, Wilson, NC 27893-9599 | 2009-01-21 |
| 1881873420 | Abundance of Love Children's Homes | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Parkway St W, Wilson, NC 27893-2733 | 2007-10-31 |
| 1578685863 | C-v Ranch Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 N. Wilderness Dr., Wilson, WY 83014 | 2007-04-06 |
| 1831442201 | Region V Board of Cooperative Educational Services | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83025 | 2012-10-22 |
| Find all providers in WILSON | ||||
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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.