Trinity Teen Solutions, Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

4292005 Issued in WY

Legal business name

TRINITY TEEN SOLUTIONS, INC

Practice address

112 Safe Haven Rd
Powell, WY 82435-8163

Phone

(307) 202-8400

Fax

(307) 462-0673

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Carol Woodward, RN

Title

Director

Phone

(307) 202-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Kara Baus

  • Registered Nurse
  • Powell, WY
  • NPI 1730636895
  NPD (past)
• Justin Dean McColl, LPC

  • Counselor
  • Cody, WY
  • NPI 1992008841
  NPD (past)
• Bernadette Pia Schmitt, LPC

  • Professional Counselor
  • Cody, WY
  • NPI 1588901631
  NPD (past)
• John Joseph Monroe, LPC, LMFT

  • Professional Counselor
  • Red Lodge, MT
  • NPI 1750947941
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1376773770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SAFE HAVEN RD",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824358163",
            "telephone_number": "307-202-8400",
            "fax_number": "307-462-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SAFE HAVEN RD",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824358163",
            "telephone_number": "307-202-8400",
            "fax_number": "307-462-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY TEEN SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-202-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "WY",
            "license": "4292005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Tobin, D.C.
• Joseph Greg Toland, O.D.
• Michael D Tracy, M.D.
• Trevor K. Gardner DMD LLC
• Triangle Cross Ranch
• Upstream Health Services, P.C.
• Mandy Jo Venable, RN
• Melissa Dawn Vukich, MS
• Wandering Souls Counseling, LLC
• Brianna Wedeward

• All providers in Powell, WY
• Psychiatric Residential Treatment Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.