NPIMap

Organization Active NPI

Rocky Mountain Behavioral Healthcare, LLC

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1386915528
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROCKY MOUNTAIN BEHAVIORAL HEALTHCARE, LLC
Practice address
940 E 3Rd St Ste 102
Casper, WY 82601-3200
Phone
(307) 462-4876
Fax
(307) 337-3492
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Brandon Wardell, DBH, MAMFT, NCC, LPCNPI 1063673069
Title
President
Phone
(405) 412-5468

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

940 E 3Rd St Ste 102
Casper, WY 82601-3200

Mailing address

301 Thelma Dr Ste 226
Casper, WY 82609
Phone (405) 412-5468

Other names 1

  • Rocky Mountain Behavioral Healthcare, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241224000591 WY Part B Supplier - Clinic/Group Practice 8729515192 Receives reassigned benefits from 2 practitioners
Practice locations: Casper, WY

National Provider Directory

National Provider Directory

Locations

940 E 3rd St
Ste 214
Casper, WY 82601
Phone (307) 577-4247

Practitioners & affiliated clinicians

Practitioners 12

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": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1386915528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THELMA DR STE 226",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609",
            "telephone_number": "405-412-5468",
            "fax_number": "307-577-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-412-5468",
        "authorized_official_credential": "DBH, MAMFT, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Behavioral Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Mountain Behavioral Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2024; 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.