Park County Court Supervised Treatment Program

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM

Practice address

1501 Stampede Ave Ste 2058
Cody, WY 82414-4728

Phone

(307) 527-1800

Fax

(307) 527-1806

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Shannon Votaw, MJA

Title

Director

Phone

(307) 527-1801

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla F Lasseter

  • Clinical Social Worker
  • Cody, WY
  • NPI 1467128116
  NPD

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1245818186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824140906",
            "telephone_number": "307-527-1800",
            "fax_number": "307-527-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STAMPEDE AVE STE 2058",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144728",
            "telephone_number": "307-527-1800",
            "fax_number": "307-527-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "VOTAW",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-527-1801",
        "authorized_official_credential": "MJA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Frances Orourke, RN
• Carolina Owen
• Aisley M Pae
• Ashley Palmer, MOTR/L
• Rodney Guy Palmer Jr., PA-C
• Park County School District 6
• Penny Jo Parnell
• Fiorella Mirian Parraga
• Michelle Paul, COTA/L
• Eric Pearson, LCSW, MSW

• Substance Use Disorder Rehabilitation Clinic/Center in Cody, WY
• Providers in Cody, WY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.