RITE OF PASSAGE INC (NPI# 1366075707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366075707 |
| Entity Type | Organization |
| Organization Name | RITE OF PASSAGE INC |
| Practice Address |
3304 E I 80 Service Rd Cheyenne WY 82009-8781 |
| Mailing Address |
2560 Business Pkwy Ste A Minden NV 89423-8961 |
| Practice Telephone | 3078297355 |
| Mailing Telephone | 7753922657 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MR. RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Telephone | 7753922639 |
| Is Organization Subpart | Y |
| Parent Organization Name | RITE OF PASSAGE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Meadowlark | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394850 | Rite of Passage Inc | Clinic/Center | 20275 E Rittenhouse Rd Ste 105, Queen Creek, AZ 85142-4534 | 2020-04-07 |
| 1962935379 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8810 Highway 103, Idaho Springs, CO 80452-9623 | 2017-04-04 |
| 1760625420 | Rite of Passage Inc | General Acute Care Hospital | 999 Crouse Mill Rd, Keymar, MD 21757-9109 | 2009-04-10 |
| 1669956223 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-09-19 |
| 1457875171 | Rite of Passage Inc | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-08-03 |
| 1245766476 | Rite of Passage Inc | Dentist | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-05-09 |
| 1235665472 | Rite of Passage Inc | Dentist | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-05-09 |
| 1144752841 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 216 Centerview Dr, Suite 317, Brentwood, TN 37027-3226 | 2017-03-31 |
| 1306112784 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2012-03-29 |
| Street Address |
3304 E I 80 SERVICE RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-8781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174934533 | Jessica Williams | Case Manager/Care Coordinator | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2014-05-19 |
| 1700495223 | Rebecca Greathouse | Case Manager/Care Coordinator | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2020-07-30 |
| 1851910988 | Tina Hankins-mines | Case Manager/Care Coordinator | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2020-04-09 |
| 1043866551 | Yana Shelbourne | Social Worker | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2019-08-12 |
| 1427616945 | Ann Jocelyn Trujillo | Case Manager/Care Coordinator | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2019-05-30 |
| 1669956223 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-09-19 |
| 1891285029 | Michelle Lee Rocco | Social Worker | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-05-14 |
| 1326556549 | Cassidy Drew Hayden | Case Manager/Care Coordinator | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-01-22 |
| 1629443163 | Katelin George | Social Worker | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| 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 |
|---|---|---|---|---|
| 1669956223 | Rite of Passage Inc | Clinic/Center | 3304 E I 80 Service Rd, Cheyenne, WY 82009-8781 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 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 |
| 1184176430 | Magellan Healthcare of Wyoming | Clinic/Center | 625 E Madison Ave Ste 6, Riverton, WY 82501-4712 | 2016-11-02 |
| 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 |
Please comment or provide details below to improve the information on RITE OF PASSAGE INC.
| 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.