NPIMap

Organization Active NPI

Teton Youth and Family Services

Doing business as Van Vleck House

  • Community/Behavioral Health Agency
  • Jackson, WY
National Provider Identifier
1720288491
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMFT-045 Issued in WY
Legal business name
TETON YOUTH AND FAMILY SERVICES
Doing business as
Van Vleck House
Practice address
510 S. Cache Dr.
Jackson, WY 83001-2631
Phone
(307) 733-6440
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Ms. Cindy Knight, MSW
Title
Director
Phone
(307) 733-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LMFT-045 WY Primary

Addresses

Primary practice location

510 S. Cache Dr.
Jackson, WY 83001-2631

Mailing address

PO Box 2631
510 S. Cache
Jackson, WY 83001-2631
Phone (307) 733-6440

Other names 1

  • Van Vleck House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red Top Meadows4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1720288491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2631",
            "address_2": "510 S. CACHE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830012631",
            "telephone_number": "307-733-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S. CACHE DR.",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830012631",
            "telephone_number": "307-733-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-733-6440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "LMFT-045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Vleck House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.