NPIMap

Organization Active NPI

Youth Emergency Services

  • Children's Substance Abuse Rehabilitation Facility
  • Gillette, WY
National Provider Identifier
1275824997
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
LPC1150 Issued in WY
Legal business name
YOUTH EMERGENCY SERVICES
Practice address
700 Longmont St
Gillette, WY 82716-2927
Phone
(307) 686-0669
Fax
(307) 686-2121
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Ann Renae Phillips, LPC
Title
Therapist
Phone
(307) 686-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X LPC1150 WY Primary

Addresses

Primary practice location

700 Longmont St
Gillette, WY 82716-2927

Mailing address

700 Longmont St
Gillette, WY 82716-2927
Phone (307) 686-0669

National Provider Directory

National Provider Directory
Tax ID family
Youth Emergency Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1275824997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LONGMONT ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162927",
            "telephone_number": "307-686-0669",
            "fax_number": "307-686-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LONGMONT ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162927",
            "telephone_number": "307-686-0669",
            "fax_number": "307-686-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EMERGENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "307-686-0669",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "WY",
            "license": "LPC1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.