NPIMap

Organization Active NPI

Northwest Wyoming Treatment Center

  • Children's Substance Abuse Rehabilitation Facility
  • Powell, WY
National Provider Identifier
1376700351
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
NORTHWEST WYOMING TREATMENT CENTER
Practice address
1106 Julie LN
Powell, WY 82435-1632
Phone
(307) 271-7460
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Mr. Ty Barrus, LCSW
Title
Director
Phone
(307) 271-7460

Specialties & licenses 1

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

Addresses

Primary practice location

1106 Julie LN
Powell, WY 82435-1632

Mailing address

1106 Julie LN
Powell, WY 82435-1632
Phone (307) 271-7460

Other names 1

  • Vernon Clegg Condie Youth Homes, Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1376700351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 JULIE LN",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824351632",
            "telephone_number": "307-271-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 JULIE LN",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824351632",
            "telephone_number": "307-271-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WYOMING TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BARRUS",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-271-7460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernon Clegg Condie Youth Homes, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 19, 2008; 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.