PEAK WELLNESS CENTER (NPI# 1922391804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922391804 |
| Entity Type | Organization |
| Organization Name | PEAK WELLNESS CENTER |
| Practice Address |
805 Pine Street Pine Bluffs WY 82082 |
| Mailing Address |
Po Box 610 Pine Bluffs WY 82082-0610 |
| Practice Telephone | 3072453444 |
| Practice Fax Number | 3072453224 |
| Mailing Telephone | 3072453444 |
| Mailing Fax Number | 3072453224 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | ROBERT MATHIAS KAISER (HR DIRECTOR) |
| Authorized Official Telephone | 3076329362 |
| 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) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780911313 | Peak Wellness Center | Community/Behavioral Health | 510 W 29th St, Cheyenne, WY 82001-2760 | 2009-11-03 |
| 1346481132 | Peak Wellness Center | Clinic/Center | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2009-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEAK WELLNESS CENTER | 510 W 29th St, Cheyenne, WY 82001-2760 |
| Colorado Business Entities | Peak Wellness Center, LLC | 1550 Niagara Road, Montrose, CO 81401 |
| Street Address |
805 PINE STREET |
| City | PINE BLUFFS |
| State | WY |
| Zip Code | 82082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185944 | Wyoming Physical Therapy PC | Specialist | 322 N Main St., Pine Bluffs, WY 82082 | 2019-07-12 |
| 1225570450 | John Medina | Behavior Technician | 909 Cr 159, Pine Bluffs, WY 82082 | 2016-11-04 |
| 1316340417 | University of Wyoming | Clinic/Center | 117 E 4th St, Pine Bluffs, WY 82082 | 2014-10-02 |
| 1609149350 | Megan C Dean | Community Health Worker | 805 Pine, Pine Bluffs, WY 82082 | 2012-02-10 |
| 1669457305 | Susan M Banes | Social Worker | 805 Pine St, Pine Bluffs, WY 82082 | 2005-12-14 |
| 1821602509 | Kathryn Rose Keys | Case Manager/Care Coordinator | 402 Elm Street, Pine Bluffs, WY 82082 | 2020-09-01 |
| 1851713812 | Kelcey Bullock | Community Health Worker | 805 Pine St, Pine Bluffs, WY 82082 | 2014-01-10 |
| 1164782215 | Christine A Sujka | Community Health Worker | 805 Pine St, Pine Bluffs, WY 82082 | 2012-05-23 |
| 1619253242 | Lacey Adkins | Community Health Worker | 805 Pine St, Pine Bluffs, WY 82082 | 2011-10-27 |
| 1154601391 | Rebecca Hampton | Community Health Worker | 805 Pine St, Pine Bluffs, WY 82082 | 2011-08-19 |
| Find all providers in zip 82082 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | PINE BLUFFS |
| Zip Code | 82082 |
Please comment or provide details below to improve the information on PEAK WELLNESS CENTER.
| 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.