NPIMap

Organization Active NPI

Youth Crisis Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Casper, WY
National Provider Identifier
1497158182
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
YOUTH CRISIS CENTER, INC
Practice address
1656 E 12TH St
Casper, WY 82601-4004
Phone
(307) 577-5718
Fax
(307) 577-5716
NPI assigned
Oct 8, 2014
Reactivated
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
David Hulshizer
Title
Executive Director
Phone
(307) 577-5718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC-1164 WY
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1656 E 12TH St
Casper, WY 82601-4004

Mailing address

1656 E 12TH St
Casper, WY 82601-4004
Phone (307) 577-5718

National Provider Directory

National Provider Directory
Tax ID family
Youth Crisis Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1656 E 12th St
Casper, WY 82601
Phone (307) 265-1007

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1497158182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014004",
            "telephone_number": "307-577-5718",
            "fax_number": "307-577-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014004",
            "telephone_number": "307-577-5718",
            "fax_number": "307-577-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CRISIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "deactivation_date": "2023-08-17",
        "reactivation_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "HULSHIZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-577-5718"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1164",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2023; 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.