Active NPI
Heavens Peak Behavioral Health Services, Ins
- Adult Mental Health Clinic/Center
- Powell, WY
National Provider Identifier
1669921532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HEAVENS PEAK BEHAVIORAL HEALTH SERVICES, INS
- Practice address
- 64 Safe Haven Rd
Powell, WY 82435 - Phone
- (307) 645-3384
- Fax
- (866) 320-1673
- NPI assigned
- Oct 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela C Woodward, RN
- Title
- Executive Director
- Phone
- (307) 645-3384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
64 Safe Haven Rd
Powell, WY 82435
Mailing address
64 Safe Haven Rd
Powell, WY 82435
Phone (307) 645-3384
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Cody, WY
- NPI 1992008841
-
- Professional Counselor
- Cody, WY
- NPI 1588901631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1669921532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 SAFE HAVEN RD",
"city": "POWELL",
"state": "WY",
"postal_code": "82435",
"telephone_number": "307-645-3384",
"fax_number": "866-320-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 SAFE HAVEN RD",
"city": "POWELL",
"state": "WY",
"postal_code": "82435",
"telephone_number": "307-645-3384",
"fax_number": "866-320-1673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENS PEAK BEHAVIORAL HEALTH SERVICES, INS",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "WOODWARD",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "307-645-3384",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.