Elevate Mind & Health

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ELEVATE MIND & HEALTH

Practice address

1030 Medicine Bow Dr
Green River, WY 82935-5537

Phone

(307) 871-6304

NPI assigned

Jun 2, 2025

Organization subpart

No

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

Authorized official

Name

Crystal Lee Hamblin, PMHNP-BCNPI 1356140735

Title

Owner

Phone

(307) 871-6304

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Lee Hamblin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rock Springs, WY
  • NPI 1356140735
  NPD Authorized official

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1770476491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MEDICINE BOW DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355537",
            "telephone_number": "307-871-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MEDICINE BOW DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355537",
            "telephone_number": "307-871-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MIND & HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-01",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-871-6304",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Y Crowder, LCSW, RPT-S
• D. Wayne Birch, D.D.S., P.C.
• Desert View Eye Care, LC
• Vallory Dodson
• Tienna Dunlap
• Lynn Perrins Eskelson, M.D.
• Jacob Flores, DPT
• Julianne E Forrester, FNP
• Fremont Therapy Group Limited Partnership
• Patrick Scott Gaensslen, DDS

• Adolescent and Children Mental Health Clinic/Center in Green River, WY
• Providers in Green River, WY by specialty
• Adolescent and Children Mental Health Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.