NPIMap

Organization Active NPI

Eagle Valley Mental Health

Doing business as Eagle Valley Behavioral Health

  • Community/Behavioral Health Agency
  • Edwards, CO
National Provider Identifier
1619648128
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAGLE VALLEY MENTAL HEALTH
Doing business as
Eagle Valley Behavioral Health
Practice address
439 Edwards Access Rd
Edwards, CO 81632-5634
Phone
(970) 445-2489
NPI assigned
Sep 23, 2021
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. Casey Wolfington
Title
Dir Community Behavioral Health
Phone
(970) 569-7765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

439 Edwards Access Rd
Edwards, CO 81632-5634

Mailing address

PO Box 843056
Kansas City, MO 64184-5036
Phone (970) 777-2850

Other names 1

  • Eagle Valley Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803002737 CO Part B Supplier - Clinic/Group Practice 6204297450 Receives reassigned benefits from 49 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edwards, CO; Vail, CO; Dillon, CO

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eagle Valley Behavioral Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1619648128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843056",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641845036",
            "telephone_number": "970-777-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 EDWARDS ACCESS RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325634",
            "telephone_number": "970-445-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VALLEY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "WOLFINGTON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIR COMMUNITY BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "970-569-7765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Valley Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.