MAGELLAN HEALTHCARE OF WYOMING (NPI# 1184176430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184176430 |
| Entity Type | Organization |
| Organization Name | MAGELLAN HEALTHCARE OF WYOMING |
| Other Organization Name | BLUE SKY COUNSELING |
| Practice Address |
625 E Madison Ave Ste 6 Riverton WY 82501-4712 |
| Practice Telephone | 3078513955 |
| Mailing Telephone | 3078513955 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | LINDA HERON (MANAGING DIRECTOR) |
| Authorized Official Telephone | 3078513955 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
WY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Blue Sky Counseling | Doing Business As Name - Organization |
| Street Address |
625 E MADISON AVE STE 6 |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386979276 | Linda M Heron | Social Worker | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2009-10-09 |
| 1629572698 | Karyn Kelly Clark | Case Manager/Care Coordinator | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2018-03-22 |
| 1710415161 | Rachael Shaw | Case Manager/Care Coordinator | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2017-05-30 |
| 1316494982 | Holly Miller | Case Manager/Care Coordinator | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997746 | Summit Counseling Solutions | Clinic/Center | 4838 W Pillar Dr, Riverton, UT 84096-1428 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1366075707 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2020-02-13 |
| 1669022711 | Blue Skies Counseling LLC | Clinic/Center | 400 E 1st St # 219, Casper, WY 82601-2558 | 2019-09-19 |
| 1215583000 | Be Mindfully You, LLC | Clinic/Center | 800 Werner Ct Ste 322, Casper, WY 82601-1325 | 2019-08-16 |
| 1669956223 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-09-19 |
| 1477008183 | Community Mental Health Center of Wyoming | Clinic/Center | 3928 Road 9, Burlington, WY 82411-9731 | 2016-08-23 |
| 1659516318 | Teton Psychology Clinic, LLC | Clinic/Center | 460 South Cache Street, Jackson, WY 83001 | 2008-12-10 |
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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.