High Country Behavioral Health
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Douglas, WY
NPI 1750113882 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1750113882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- HIGH COUNTRY BEHAVIORAL HEALTH
- Practice address
- 41 Lakeview Dr
Douglas, WY 82633-9002 - Phone
- (307) 358-2846
- NPI assigned
- Aug 16, 2024
- 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 70
-
Phillip Edward Archibald, LCSW
-
James David Benson, AGNP-C, PHD
-
Jared Bingham, LCPC
-
Sara C Burnside, PCSW
-
Elisabeth Butts, LPC
-
Joshua Robert Cosgrave, MSW, PCSW
-
Kipp Dana, LPC
-
Frank Delreal, MD
-
Jayme Donaldson, DNP
-
Rebecca Ertle, MA, LSC, LPC, PPC
-
Peggy Sue Hayes, LMFT
-
Sarah Randolph Hixson, LCSW
-
Mark Jaggi, LCSW
-
Jason Marsh, PMHNP-BC
-
Jennifer Lee McKinney, PMHNP
-
Sandra Kay Morrigan, M.S.W., L.M.S.W
-
Hope Phelon, LCSW. LAT
-
Marisa Phillips, MS, LMFT
-
Aaron J. Preece, 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
Locations
2420 E 25th St
Idaho Falls, ID 83404
Phone (208) 542-1026
36 Professional Plz
Ste 220
Rexburg, ID 83440
Phone (208) 542-1026
1841 Madora Ave
Ste 1
Douglas, WY 82633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
41 Lakeview Dr
Douglas, WY 82633-9002
Mailing address
PO Box 376
Afton, WY 83110-0376
Phone (307) 885-9883
Other providers in Douglas, WY
- Rebecca Anne He
- Helpers and Doers, Inc.
- Crystal L Hendricks
- High Country Behavioral Health
- High Country Behavioral Health
- Miranda Penelope Hinton
- Holland Counseling LLC
- Ruth Ann Holland
- Shelby Hoskinson
- Wayne Hudson
All providers in Douglas, WY · Mental Illness Community Based Residential Treatment Facility in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. 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.