High Country Behavioral Health
Organization Active NPI Recovery Care Clinic/Center · Thayne, WY
NPI 1679388607 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1679388607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Recovery Care Clinic/Center 261QR0800X
- Legal business name
- HIGH COUNTRY BEHAVIORAL HEALTH
- Practice address
- 250 Van Noy Pkwy
Thayne, WY 83127 - Phone
- (307) 885-9883
- NPI assigned
- Feb 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Shannon Nizer
- Title
- Credentialing Specialist
- Phone
- (307) 885-9888
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 26
Practitioners 1
-
Diana Jean Stone, MA, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110418000512 | WY | Part B Supplier - Clinic/Group Practice | 0648454587 |
Receives reassigned benefits from 52 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glenrock, WY; Thermopolis, WY; Thayne, WY; Rawlins, WY; Pinedale, WY; Lyman, WY; Kemmerer, WY; Afton, WY… |
National Provider Directory
- Tax ID family
- High Country Behavioral Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Recovery Care Clinic/Center | 261QR0800X | Yes |
Addresses
Primary practice location
250 Van Noy Pkwy
Thayne, WY 83127
Mailing address
PO Box 376
Afton, WY 83110-0376
Other providers in Thayne, WY
- Dawn Davis
- Haylee Eggleston
- Martha S Hageman
- Edward Henry
- High Country Behavioral Health
- Eric Boone Hodges
- Independent Family Practice
- Helen Jenkins
- Daniel Dean Jeske
- Jim Wheeler Physical Therapy Services, LLC
All providers in Thayne, WY · Recovery Care Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.