NPIMap

Organization Active NPI

Rite of Passage Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1669956223
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RITE OF PASSAGE INC
Practice address
3304 E I 80 Service Rd
Cheyenne, WY 82009-8781
Phone
(307) 829-7355
NPI assigned
Sep 19, 2018
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RITE OF PASSAGE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Rusty E. Alexander
Title
Business Managing Director
Phone
(775) 392-2639

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

3304 E I 80 Service Rd
Cheyenne, WY 82009-8781

Mailing address

2560 Business Pkwy Ste a
Minden, NV 89423-8961
Phone (775) 392-2657

National Provider Directory

National Provider Directory
Tax ID family
Rite of Passage Inc42 organizations share this tax ID, including this one
Part of
Rite of Passage Inc

Other organizations with this tax ID 41

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

View all 41

Locations

3304 I80 Service Rd
Cheyenne, WY 82009
Phone (307) 633-8040

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1669956223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PKWY STE A",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894238961",
            "telephone_number": "775-392-2657",
            "fax_number": "775-392-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 E I 80 SERVICE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820098781",
            "telephone_number": "307-829-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE OF PASSAGE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RITE OF PASSAGE, INC",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BUSINESS MANAGING DIRECTOR",
        "authorized_official_telephone_number": "775-392-2639"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

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