COMMUNITY MENTAL HEALTH SERVICES (NPI# 1730342346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730342346 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
501 S Burma Ave Gillette WY 82716-3426 |
| Mailing Address |
Po Box 3011 Gillette WY 82717-3011 |
| Practice Telephone | 3076885014 |
| Practice Fax Number | 3076885015 |
| Mailing Telephone | 3076885014 |
| Mailing Fax Number | 3076885015 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | KATHRYN SPRING WILKINS (CASE MANAGER) |
| Authorized Official Telephone | 3076885014 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMPBELL COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1881730141 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821399056 | Community Mental Health Services | Case Management | 720 E Lander St, Pocatello, ID 83201-6228 | 2010-11-04 |
| 1336190842 | Community Mental Health Services | Clinic/Center | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2006-05-12 |
| 1609206309 | Community Mental Health Services | Clinic/Center | 720 E Lander St, Pocatello, ID 83201-6228 | 2013-11-15 |
| 1417216961 | Community Mental Health Services | Clinic/Center | 720 E Lander St, Pocatello, ID 83201-6228 | 2012-05-03 |
| 1780968743 | Community Mental Health Services | Clinic/Center | 501 S Burma Ave, Gillette, WY 82716-3426 | 2011-10-07 |
| 1831326503 | Community Mental Health Services | Clinic/Center | 427 N Arthur Ave, Pocatello, ID 83204-3006 | 2009-06-19 |
| 1881730141 | Community Mental Health Services | Community/Behavioral Health | 501 S Burma Ave, 5th Floor, Gillette, WY 82716-3426 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MENTAL HEALTH SERVICES OF LIVINGSTON COUNTY | 2280 E Grand River Ave, Howell, MI 48843-8503 |
| Street Address |
501 S BURMA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257720 | Alan L Mitchell | Radiology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2005-07-01 |
| 1730796087 | Jenae Elizabeth Schoenike | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-09-29 |
| 1417569732 | Nikole Marie Lawrence | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-08-18 |
| 1396354221 | Nancy Dillie | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-27 |
| 1538777800 | Devin Rae Vance | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1851909295 | Barry Shannon | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1255949525 | Lisa Jackson-eldridge | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1083222483 | Derek Friedlan | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-21 |
| 1295377414 | Charmaine Abigan Jaiver | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-10-09 |
| 1841844172 | Daniel Bryan Rust | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-07-25 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1588171763 | Cowen Consulting & Welness, LLC | Community/Behavioral Health | 5350 Cowen Dr, Gillette, WY 82718-8552 | 2018-01-09 |
| 1750730339 | Caritas Mental Health LLC | Community/Behavioral Health | 5204 Raven St, Gillette, WY 82718 | 2016-06-06 |
| 1225483431 | Courage To Change Counseling | Community/Behavioral Health | 113 S Gillette Ave Ste 200, Gillette, WY 82716-3741 | 2016-04-26 |
| 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 |
| 1376921007 | Jodi Ensminger | Community/Behavioral Health | 2900 Harder Dr, Gillette, WY 82718-6137 | 2015-05-14 |
| 1942458195 | Personal Frontiers, Inc. | Community/Behavioral Health | 310 S Miller Ave, Gillette, WY 82716-3944 | 2008-08-29 |
| 1821612698 | Center for Solutions, LLC | Community/Behavioral Health | 201 W Lakeway Rd Ste 311, Gillette, WY 82718-6306 | 2020-06-08 |
| 1467990879 | Taylor Fleming | Community/Behavioral Health | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2017-02-06 |
| 1851841878 | Cornerstone Counseling | Community/Behavioral Health | 1901 Energy Ct, Suite 311, Gillette, WY 82718-5522 | 2016-10-13 |
| Find all providers in GILLETTE | ||||
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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.