Wyoming Substance Abuse Treatment & Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WYOMING SUBSTANCE ABUSE TREATMENT & RECOVERY CENTER

Doing business as

Wystar

Practice address

1095 Saberton Ave
Sheridan, WY 82801-3144

Phone

(307) 672-2044

Fax

(307) 674-6867

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Peldo, MS, LMFT

Title

Executive Director

Phone

(307) 672-2044

Specialties & licenses 1

Addresses

Other names 1

• WYSTAR Doing business as

Locations

Practitioners 1

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.

• Lauri Ann Onkka, LCSW

  • Clinical Social Worker
  • Sheridan, WY
  • NPI 1548584782
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659498251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 SABERTON AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013144",
            "telephone_number": "307-672-2044",
            "fax_number": "307-674-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 SABERTON AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013144",
            "telephone_number": "307-672-2044",
            "fax_number": "307-674-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING SUBSTANCE ABUSE TREATMENT & RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELDO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-672-2044",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYSTAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wyoming Counseling, Inc
• Wyoming Eye Surgeons
• Wyoming Home Health & Hospice Big Horn Inc (Eclipse Home Health)
• Wyoming Radiology Associates PC
• Wyoming Substance Abuse Assessments LLC (Cowboy ASI)
• Wyovision Associates Inc
• Wyssmann Psychological & Counseling, LLC
• James William Wyssmann, PHD
• Victor P Yapuncich, M.D.
• Chelsey Yellowtail, FNP-C

• Substance Use Disorder Rehabilitation Clinic/Center in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.