NORTHERN WYOMING MENTAL HEALTH CENTER, INC. (NPI# 1386798239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386798239 |
| Entity Type | Organization |
| Organization Name | NORTHERN WYOMING MENTAL HEALTH CENTER, INC. |
| Practice Address |
521 W Lott St Buffalo WY 82834-1642 |
| Practice Telephone | 3076845531 |
| Practice Fax Number | 3076842912 |
| Mailing Telephone | 3076845531 |
| Mailing Fax Number | 3076842912 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | PAUL E. DEMPLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3076728958 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | MEDICARE ID PTAN | W4370109 | 01 |
| WY | 106072406 | 05 | |
| WY | BCBS | 00718001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1558415927 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1-2 Main St, Sundance, WY 82729-0646 | 2007-01-23 |
| 1013292473 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1221 W 5th St, Sheridan, WY 82801-2701 | 2011-10-18 |
| 1548545106 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-10-14 |
| 1093090656 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2011-10-14 |
| 1588948673 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 Deanne Ave, Newcastle, WY 82701-2936 | 2011-10-06 |
| 1619021912 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1221 W 5th St, Sheridan, WY 82801-2701 | 2007-01-23 |
| 1952455834 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 1701 W 5th St, Suite C, Sheridan, WY 82801-2748 | 2007-01-22 |
| Street Address |
521 W LOTT ST |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368371 | Nick Alan Riemenschneider | Counselor | 521 W Lott St, Buffalo, WY 82834-1642 | 2020-02-18 |
| 1215498969 | Kayla Rochester | Counselor | 521 W Lott St, Buffalo, WY 82834-1642 | 2019-03-26 |
| 1396080917 | Tyler Broderick | Counselor | 521 W Lott St, Buffalo, WY 82834-1642 | 2012-12-07 |
| 1548545106 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-10-14 |
| 1750671699 | Kirk D Parry | Community Health Worker | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-04-12 |
| 1548566755 | Sydney Marie Rowe | Social Worker | 521 W Lott St, Buffalo, WY 82834-1642 | 2011-02-04 |
| 1740511484 | Dusty Rose Mcbride-thom | Case Manager/Care Coordinator | 521 W Lott St, Buffalo, WY 82834-1642 | 2010-01-20 |
| 1760637813 | Jodi M Verplancke | Social Worker | 521 W Lott St, Buffalo, WY 82834-1642 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144709445 | R.e.foster,lcsw,pllc | Clinic/Center | 1201 Colvin Blvd Ste 6, Buffalo, NY 14223-1936 | 2018-08-08 |
| 1659674489 | Twin Cities Behavioral Health, PC | Clinic/Center | 2 Division St E, Suite 103, Buffalo, MN 55313-1773 | 2010-12-16 |
| 1548337256 | Mental Health Services-erie County Northwest Corporation I | Clinic/Center | 1300 Niagara St, Buffalo, NY 14213-1503 | 2006-11-29 |
| 1932139300 | Jewish Family Service of Buffalo and Erie County | Clinic/Center | 70 Barker St, Buffalo, NY 14209-2013 | 2006-07-03 |
| 1497967129 | Bestself Behavioral Health, Inc. | Clinic/Center | 1050 Niagara St, Buffalo, NY 14213-2001 | 2007-05-04 |
| 1922210657 | Bestself Behavioral Health, Inc. | Clinic/Center | 430 Niagara St, Buffalo, NY 14201-1835 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103127 | Lupine Mental Health and Integrative Psychiatry LLC | Clinic/Center | 125 E Pearl Ave Ste 207, Jackson, WY 83001-8599 | 2020-08-02 |
| 1679199897 | Wyoming Trauma Treatment Center | Clinic/Center | 800 Werner Ct Ste 258, Casper, WY 82601-1324 | 2020-06-23 |
| 1225693872 | Himes Counseling LLC | Clinic/Center | 113 S Gillette Ave Ste 215, Gillette, WY 82716-3741 | 2019-05-08 |
| 1528538931 | Whole Life Counseling LLC | Clinic/Center | 1800 W 4j Rd, Gillette, WY 82718-9109 | 2018-11-28 |
| 1295211787 | Nicole Rue, Psy.d., LLC | Clinic/Center | 1115 Maple Way Ste D, Jackson, WY 83001-8567 | 2018-07-17 |
| 1619465838 | Elevate Counseling | Clinic/Center | 116 5th St Ste 8, Rawlins, WY 82301-5632 | 2018-04-23 |
| 1649795907 | Cowboy Psychological Services PC | Clinic/Center | 1123 Big Horn Ave Ste A, Worland, WY 82401-2814 | 2017-08-08 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1245605344 | Magellan Healthcare | Clinic/Center | 8035 W Chalk Creek Rd, Casper, WY 82604-1744 | 2015-12-01 |
| 1700258514 | Peaceful Minds, LLC | Clinic/Center | 1300 E A St Ste 101, Casper, WY 82601-2211 | 2015-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHERN WYOMING MENTAL HEALTH CENTER, 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.