Organization Active NPI

Wyo Way Healing, LLC

  • Mental Health Counselor
  • Powell, WY
National Provider Identifier
1063181444
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WYO WAY HEALING, LLC
Practice address
114 N Bent St
Powell, WY 82435-2712
Phone
(307) 899-1047
Fax
(307) 464-3449
NPI assigned
Sep 9, 2021
Last updated
Oct 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Heather Bales, LCSWNPI 1447641774
Title
Authorized Official
Phone
(307) 899-1047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

114 N Bent St
Powell, WY 82435-2712

Mailing address

114 N Bent St
Powell, WY 82435-2712
Phone (307) 899-1047

Other practice location 1

1274 Hwy 120 North
Cody, WY 82414-9978
Phone (307) 899-1047

Other practice location 2

1962 Lane 15
Powell, WY 82435-8896
Phone (307) 899-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211119001089 WY Part B Supplier - Clinic/Group Practice 1951790591 Receives reassigned benefits from 2 practitioners
Practice locations: Powell, WY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1063181444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N BENT ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352712",
            "telephone_number": "307-899-1047",
            "fax_number": "307-464-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N BENT ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352712",
            "telephone_number": "307-899-1047",
            "fax_number": "307-464-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1274 HWY 120 NORTH",
            "address_purpose": "LOCATION",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149978",
            "country_code": "US",
            "telephone_number": "307-899-1047",
            "fax_number": "307-464-3449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1962 Lane 15",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824358896",
            "country_code": "US",
            "telephone_number": "307-899-1047",
            "fax_number": "307-464-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYO WAY HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "307-899-1047",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.