NPIMap

Organization Active NPI

Volunteers of America Northern Rockies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gillette, WY
National Provider Identifier
1376279679
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Practice address
1299 Raymond St
Gillette, WY 82718-6980
Phone
(307) 682-8505
NPI assigned
Jul 28, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Kelly Buckingham
Title
VP of It and Compliance
Phone
(307) 751-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1299 Raymond St
Gillette, WY 82718-6980

Mailing address

521 W Lott St
Buffalo, WY 82834-1642
Phone (307) 751-7440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110002012 WY Part B Supplier - Clinic/Group Practice 1355733015 Receives reassigned benefits from 32 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newcastle, WY; Wheatland, WY; Torrington, WY; Sundance, WY; Sheridan, WY; Riverton, WY; Laramie, WY; Gillette, WY…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America Northern Rockies43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

2526 Seymour Ave
Cheyenne, WY 82001
Phone (307) 634-9653

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": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1376279679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341642",
            "telephone_number": "307-751-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 RAYMOND ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186980",
            "telephone_number": "307-682-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA NORTHERN ROCKIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "BUCKINGHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "VP OF IT AND COMPLIANCE",
        "authorized_official_telephone_number": "307-751-7440"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "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 Jul 28, 2022; 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.