Organization Active NPI

Wyoming Fundamental Healing and Recovery LLC

  • Counselor
  • Casper, WY
National Provider Identifier
1376350520
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WYOMING FUNDAMENTAL HEALING AND RECOVERY LLC
Practice address
800 Werner CT Ste 300
Casper, WY 82601-1325
Phone
(307) 439-6345
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Robert Jay Barnosky, LPCNPI 1588912273
Title
Owner
Phone
(307) 472-3769

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

800 Werner CT Ste 300
Casper, WY 82601-1325

Mailing address

800 Werner CT Ste 300
Casper, WY 82601-1325
Phone (307) 439-6345

Other names 1

  • Wyoming Fundamental Healing and Recovery llc Former legal business name

National Provider Directory

National Provider Directory

Locations

800 Werner Ct
Ste 300
Casper, WY 82601
Phone (307) 237-4477

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1376350520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WERNER CT STE 300",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011325",
            "telephone_number": "307-439-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WERNER CT STE 300",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011325",
            "telephone_number": "307-439-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING FUNDAMENTAL HEALING AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "BARNOSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-472-3769",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Fundamental Healing and Recovery llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.