Brain Injury Association of Wyoming

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRAIN INJURY ASSOCIATION OF WYOMING

Doing business as

Brain Injury Advocates of Wyoming

Practice address

350 Big Horn Rd Ste 101
Casper, WY 82601-1782

Phone

(307) 473-1767

NPI assigned

Jun 17, 2014

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel CubbedgeNPI 1801416771

Title

Executive Director

Phone

(307) 473-1767

Specialties & licenses 12

Addresses

Other names 2

• Brain Injury Advocates of Wyoming Doing business as
• Brain Injury Alliance of Wyoming Former legal business name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecilia Marie Stark, PCSW

  • Clinical Social Worker
  • Casper, WY
  • NPI 1669040838
  Medicare reassignment Care Compare group NPD
• Rachel Taylor, PCSW

  • Clinical Social Worker
  • Casper, WY
  • NPI 1326703489
  Medicare reassignment Care Compare group NPD
• Daniel Louis Cubbedge

  • Case Management Agency
  • Casper, WY
  • NPI 1801416771
  NPD Authorized official
• Jaci Patchen

  • Case Manager/Care Coordinator
  • Casper, WY
  • NPI 1346065125
  NPD
• Brandy Teague

  • Case Manager/Care Coordinator
  • Casper, WY
  • NPI 1609588375
  NPD
• Alexandra Kaislynn Barnack

  • Case Manager/Care Coordinator
  • Casper, WY
  • NPI 1184378465
  NPD (past)
• Ashleigh Tieszen, RBT

  • Behavior Analyst
  • Casper, WY
  • NPI 1851005714
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1003220096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2984",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826022984",
            "telephone_number": "307-473-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BIG HORN RD STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011782",
            "telephone_number": "307-473-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Lucker Ln",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "WY",
            "postal_code": "826368604",
            "country_code": "US",
            "telephone_number": "307-473-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN INJURY ASSOCIATION OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "CUBBEDGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-473-1767"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Injury Advocates of Wyoming",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brain Injury Alliance of Wyoming",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bozeman Trail Orthodontics PC
• Luke Edwin Bracke, M.D.
• Braden Partners LP (Pacific Pulmonary Service)
• Harold Bradshaw
• Shreya Brahmbhatt, NP
• Theresa A Brandel, RPT
• Diane Marie Branson, PH.D.
• Brant Audiology, LLC (Brant Audiology & Tinnitus)
• Fantasia Marie Brasmer, PPC
• Nicholas James Brattis, O.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Casper, WY
• Providers in Casper, WY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.