YOUTH EMERGENCY SERVICES (NPI# 1275824997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275824997 |
| Entity Type | Organization |
| Organization Name | YOUTH EMERGENCY SERVICES |
| Practice Address |
700 Longmont St Gillette WY 82716-2927 |
| Practice Telephone | 3076860669 |
| Practice Fax Number | 3076862121 |
| Mailing Telephone | 3076860669 |
| Mailing Fax Number | 3076862121 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | ANN RENAE PHILLIPS (THERAPIST) |
| Authorized Official Telephone | 3076860669 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
LPC1150 | WY | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649493453 | Youth Emergency Services | Residential Treatment Facility, Emotionally Disturbed Children | 706 Longmont St, Gillette, WY 82716-2927 | 2007-04-10 |
| 1912298639 | Youth Emergency Services | Substance Abuse Rehabilitation Facility | 700 Longmont St, Gillette, WY 82716-2927 | 2011-04-28 |
| Street Address |
700 LONGMONT ST |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457543993 | Michael Lee Smith | Counselor | 700 Longmont St, Gillette, WY 82716-2927 | 2007-08-17 |
| 1750823720 | Eric L Porter | Contractor | 700 Longmont St, Gillette, WY 82716-2927 | 2016-11-08 |
| 1336428168 | Patricia Thompson | Counselor | 700 Longmont St, Gillette, WY 82716-2927 | 2011-08-10 |
| 1912298639 | Youth Emergency Services | Substance Abuse Rehabilitation Facility | 700 Longmont St, Gillette, WY 82716-2927 | 2011-04-28 |
| 1336393834 | Youth Emergency Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 700 Longmont St, Gillette, WY 82716-2927 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912298639 | Youth Emergency Services | Substance Abuse Rehabilitation Facility | 700 Longmont St, Gillette, WY 82716-2927 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376700351 | Northwest Wyoming Treatment Center | Substance Abuse Rehabilitation Facility | 1106 Julie Ln, Powell, WY 82435-1632 | 2008-05-19 |
| 1730560608 | Triangle Cross Ranch | Substance Abuse Rehabilitation Facility | 428 Road 1af, Powell, WY 82435-8103 | 2015-06-16 |
| 1962783738 | Normative Services, Inc | Substance Abuse Rehabilitation Facility | 5 Lane Ln, Sheridan, WY 82801-8630 | 2011-09-07 |
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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.