CLOUD PEAK INITIATIVES, INC. (NPI# 1740318013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740318013 |
| Entity Type | Organization |
| Organization Name | CLOUD PEAK INITIATIVES, INC. |
| Practice Address |
151 W Brundage St Sheridan WY 82801 |
| Mailing Address |
151 W Brundage St Sheridan WY 82801-4217 |
| Practice Telephone | 3076741668 |
| Practice Fax Number | 3076741667 |
| Mailing Telephone | 3076741668 |
| Mailing Fax Number | 3076741667 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROY E. PACK JR. (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3076741668 |
| Authorized Official Credential | BS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 251B00000X | Case Management | Agencies | ||
| X | 251S00000X | Community/Behavioral Health | Agencies | ||
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
151 W BRUNDAGE ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356832760 | Eric Anson | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801 | 2018-05-21 |
| 1770011124 | Ian Wallace | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2017-05-30 |
| 1396292512 | Channing Spradling | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2016-09-06 |
| 1033563481 | Maura Elizabeth Holzerland | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2016-04-21 |
| 1588022388 | Carl Edward Dube | Counselor | 151 W Brundage St, Sheridan, WY 82801-4217 | 2016-02-08 |
| 1942690227 | Andrea Schoonmaker | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2015-01-26 |
| 1982024493 | Kelsey Proctor | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2014-04-23 |
| 1811230998 | Janet Marie Lassen | Social Worker | 151 W Brundage St, Sheridan, WY 82801-4217 | 2013-03-27 |
| 1073851473 | Rhiannon Lee Wenn | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2013-01-21 |
| 1972889764 | Cloud Peak Initiatives Inc. | Clinic/Center | 151 W Brundage St, Sheridan, WY 82801-4217 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1003151341 | Dennis Michael Durfee | Counselor | 7290 Ridgeway Rd, Sheridan, OR 97378-9531 | 2012-11-27 |
| 1982858122 | Barbara Lynn Schutte | Counselor | 23 North Scott Street, Suite 28, Sheridan, WY 82801 | 2008-11-14 |
| 1003005273 | Sheri Ann Elliott | Counselor | 909 Long Dr Ste C, Sheridan, WY 82801-3282 | 2007-10-23 |
| 1245444777 | Elena Savina | Counselor | 500 N Rock St, Sheridan, AR 72150-1808 | 2007-05-10 |
| 1689709743 | Khanh Tran | Counselor | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2007-02-22 |
| 1194350603 | Emily E Thompson | Counselor | 3460 S Federal Blvd, Sheridan, CO 80110-1967 | 2020-03-04 |
| 1659904589 | Christine Nicole Grassi | Counselor | 3460 S Federal Blvd, Sheridan, CO 80110-1967 | 2020-02-19 |
| 1053951418 | Lelalelei Nomura | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-01-13 |
| 1831758275 | Deanne Lederer | Counselor | 2161 Coffeen Ave Ste 401, Sheridan, WY 82801-5771 | 2019-06-10 |
| Find all providers in SHERIDAN | ||||
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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.