Wandering Minds LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WANDERING MINDS LLC

Practice address

2321 Dunn Ave
Cheyenne, WY 82001-3214

Phone

(307) 996-7320

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Monica Baker, LCSWNPI 1164040101

Title

Owner

Phone

(307) 996-7320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 2

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

• Monica Baker, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
  • NPI 1164040101

  WY

  Medicare reassignment NPD Authorized official
• Hana J Lerwick, PCSW

  • Clinical Social Worker
  • Cheyenne, WY
  • NPI 1780509927
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1497439459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2072",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820032072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-996-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-996-7320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Walter, AU.D.
• Walton Holdings LLC
• Kaylyn Marie Walton, DPT
• Parker Roland Walton, DDS
• Ryan Scott Walton, D.C.
• Menglan Wang
• Desiree Lynn Wann, MSW, LCSW
• Joshua Ward
• Kirsten Ward, PCSW
• Sarah Ward

• Adult Mental Health Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Adult Mental Health Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.