WINDGATE WILDERNESS THERAPY, LLC (NPI# 1275787251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275787251 |
| Entity Type | Organization |
| Organization Name | WINDGATE WILDERNESS THERAPY, LLC |
| Other Organization Name | WINGATE WILDERNESS THERAPY |
| Practice Address |
1739 S Highway 89a Building A Kanab UT 84741-3957 |
| Mailing Address |
Po Box 347 Kanab UT 84741-0347 |
| Practice Telephone | 4358171574 |
| Practice Fax Number | 4353043199 |
| Mailing Telephone | 4358171574 |
| Mailing Fax Number | 4353043199 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | TIM DUPELL (MAJORITY PARTNER) |
| Authorized Official Telephone | 5035851862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 14113 | UT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| WinGate Wilderness Therapy | Doing Business As Name - Organization |
| Street Address |
1739 S HIGHWAY 89A BUILDING A |
| City | KANAB |
| State | UT |
| Zip Code | 84741-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326504523 | Tearace Ent., LLC | Clinic/Center | 1739 S Highway 89a, Kanab, UT 84741-3957 | 2019-02-13 |
| 1407280068 | Joshua White | Counselor | 1739 S Highway 89a, Kanab, UT 84741-3957 | 2013-08-30 |
| 1558795237 | Greg Burnham | Marriage & Family Therapist | 1739 S Highway 89a, Kanab, UT 84741-3957 | 2013-08-29 |
| 1104250935 | John Stuart Cohen | Counselor | 1739 S Highway 89a, Kanab, UT 84741-3957 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970770 | Christa Jean Werlinger | Registered Nurse | 455 North Main Street, Kanab, UT 84741 | 2019-09-06 |
| 1306345889 | Erin Grover | Social Worker | 6746 E Hwy 89, Kanab, UT 84741 | 2018-02-09 |
| 1821546300 | Jessica Jo Stenquist | Social Worker | 6746 East Us89, Kanab, UT 84741 | 2016-09-14 |
| 1306266325 | Roger Patterson | Specialist | 67w 200s, Kanab, UT 84741 | 2014-04-17 |
| 1124308978 | Helen J. Hunter | Registered Nurse | 445 N Main, Kanab, UT 84741 | 2011-08-25 |
| 1821392226 | Total Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 670 S Highway 89a, Suite 1, Kanab, UT 84741 | 2010-12-29 |
| 1952628505 | Weston Marshall Swindlehurst | Nurse Anesthetist, Certified Registered | 355 North Main St, Anesthesia Dept, Kanab, UT 84741 | 2010-04-22 |
| 1619113818 | Sharla Jo Christie | Counselor | 445 N 76 W, Kanab, UT 84741 | 2008-12-18 |
| 1174744650 | Monica Croteau | Case Manager/Care Coordinator | 310 South 100 East, Suite 11, Kanab, UT 84741 | 2007-05-01 |
| 1508949165 | Brandon Stubbs | Physical Therapist | 355 North Main, Kanab, UT 84741 | 2006-10-24 |
| Find all providers in zip 84741 | ||||
| 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 |
|---|---|---|---|---|
| 1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
| 1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
| 1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
| 1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
| 1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
| 1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
| 1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
| 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.