NPIMap

Organization Active NPI

Community Mental Health Center of Wyoming

  • Adult Mental Health Clinic/Center
  • Burlington, WY
National Provider Identifier
1477008183
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LPC-860 Issued in WY
Legal business name
COMMUNITY MENTAL HEALTH CENTER OF WYOMING
Practice address
3928 Road 9
Burlington, WY 82411-9731
Phone
(307) 272-9224
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Matthew McNivenNPI 1932566643
Title
Director
Phone
(307) 272-9224

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LPC-860 WY Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LPC-860 WY

Addresses

Primary practice location

3928 Road 9
Burlington, WY 82411-9731

Mailing address

3928 Road 9
Burlington, WY 82411-9731
Phone (307) 272-9224

National Provider Directory

National Provider Directory
Tax ID family
Big Horn Basin Mental Health Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1477008183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 ROAD 9",
            "city": "BURLINGTON",
            "state": "WY",
            "postal_code": "824119731",
            "telephone_number": "307-272-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 ROAD 9",
            "city": "BURLINGTON",
            "state": "WY",
            "postal_code": "824119731",
            "telephone_number": "307-272-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH CENTER OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "MCNIVEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-272-9224"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WY",
            "license": "LPC-860",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WY",
            "license": "LPC-860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.