YELLOWSTONE BOYS AND GIRLS RANCH (NPI# 1407245756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407245756 |
| Entity Type | Organization |
| Organization Name | YELLOWSTONE BOYS AND GIRLS RANCH |
| Other Organization Name | YBGR |
| Practice Address |
3212 1st Ave S Billings MT 59101-3814 |
| Practice Telephone | 4066513122 |
| Practice Fax Number | 4066512783 |
| Mailing Telephone | 4066513122 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | MR. MIKE CHAVERS (CEO) |
| Authorized Official Telephone | 4066552109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | SWP-LCPC-LIC-110 | MT | Agencies |
| Y | 251S00000X | Community/Behavioral Health | SWP-LCPC-LIC-834 | MT | Agencies |
| Other Name | Type Code |
|---|---|
| YBGR | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501570 | Yellowstone Boys and Girls Ranch | Clinic/Center | 1732 S 72nd St W, Billings, MT 59106 | 2017-07-24 |
| 1871031831 | Yellowstone Boys and Girls Ranch | Nurse Practitioner | 1732 S 72nd St W, Billings, MT 59106 | 2017-02-09 |
| 1306232673 | Yellowstone Boys and Girls Ranch | Local Education Agency (LEA) | 1732 S 72nd St W, Billings, MT 59106-3538 | 2015-04-13 |
| 1265556757 | Yellowstone Boys and Girls Ranch | Physician Assistant | 1732 S 72nd St W, Billings, MT 59106 | 2007-03-19 |
| 1174647663 | Yellowstone Boys and Girls Ranch | Case Management | 1732 S 72nd St W, Billings, MT 59106-3538 | 2007-03-19 |
| 1104990373 | Yellowstone Boys and Girls Ranch | Psychiatry & Neurology | 1732 S 72nd St W, Billings, MT 59106-3500 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Yellowstone Boys and Girls Ranch Foundation Inc. | 2050 Overland Avenue, Billings, MT 59102 |
| Oklahoma Business Registrations | YELLOWSTONE BOYS AND GIRLS RANCH FOUNDATION, INC. | Po Box 80807, Billings, MT 59108-0807 |
| System for Award Management (SAM) Entities | YELLOWSTONE BOYS AND GIRLS RANCH, INC. | 1732 S 72nd St W, Billings, MT 59106-3538 |
| Street Address |
3212 1ST AVE S |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740348366 | Diane Bergstein | Counselor | 3212 1st Ave S, Billings, MT 59101-3814 | 2006-12-05 |
| 1487127726 | Kirsten Renee Pett | Social Worker | 3212 1st Ave S, Billings, MT 59101-3814 | 2019-01-09 |
| 1316337249 | Danielle Lyn Althoff | Community/Behavioral Health | 3212 1st Ave S, Billings, MT 59101-3814 | 2015-01-30 |
| 1518382001 | Malissa Steffes | Social Worker | 3212 1st Ave S, Billings, MT 59101-3814 | 2014-02-20 |
| 1760806244 | Laura Anne Tipton | Counselor | 3212 1st Ave S, Billings, MT 59101-3814 | 2014-02-05 |
| 1730417577 | Neil E Kidwell | Social Worker | 3212 1st Ave S, Billings, MT 59101-3824 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568815124 | Cynthia Graham Counseling | Community/Behavioral Health | 1400 Poly Dr, Suite 4e, Billings, MT 59102-1798 | 2016-07-19 |
| 1164849139 | Angela Matta, Lcsw, Lac, PC | Community/Behavioral Health | 1925 Grand Ave Ste 123, Billings, MT 59102-2763 | 2014-03-27 |
| 1497004337 | B W Caring Corporation | Community/Behavioral Health | 1209 Mossman Dr, Billings, MT 59105-6001 | 2012-09-06 |
| 1629384961 | Wellness Possebilities, Inc | Community/Behavioral Health | 8650 Longmeadow Dr, Billings, MT 59106-1802 | 2010-08-24 |
| 1801918966 | Youth Dynamics, Inc. | Community/Behavioral Health | 2334 Lewis Ave, Billings, MT 59102-3927 | 2007-04-06 |
| 1740313535 | Excel Inc. | Community/Behavioral Health | 1348 Main St, Suite 201, Billings, MT 59105-1722 | 2007-03-13 |
| 1790313740 | Ideal Balance Pllc | Community/Behavioral Health | 1523 Wyoming Ave, Billings, MT 59102-4105 | 2020-03-27 |
| 1972055267 | Family Works for Kids Pllp | Community/Behavioral Health | 1523 Wyoming Ave, Billings, MT 59102-4105 | 2016-11-02 |
| 1316337249 | Danielle Lyn Althoff | Community/Behavioral Health | 3212 1st Ave S, Billings, MT 59101-3814 | 2015-01-30 |
| 1194136499 | Therapy Your Way, Pllc | Community/Behavioral Health | 711 Central Ave Ste 103, Billings, MT 59102-5892 | 2014-05-08 |
| Find all providers in BILLINGS | ||||
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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.