Organization Active NPI

Gem City Mental Wellness LLC

  • Adult Mental Health Clinic/Center
  • Laramie, WY
National Provider Identifier
1790637098
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GEM CITY MENTAL WELLNESS LLC
Practice address
401 E Ivinson Ave
Laramie, WY 82070-3125
Phone
(307) 314-2164
Fax
(307) 226-7274
NPI assigned
Feb 10, 2026
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Tracey Harris, LCSWNPI 1639843345
Title
Owner
Phone
(307) 314-2164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

401 E Ivinson Ave
Laramie, WY 82070-3125

Mailing address

9 Fox Woods CT
Jelm, WY 82063-9215
Phone (307) 314-2164

National Provider Directory

National Provider Directory

Locations

401 E Ivinson Ave
Laramie, WY 82070
Phone (307) 314-2164

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1790637098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FOX WOODS CT",
            "city": "JELM",
            "state": "WY",
            "postal_code": "820639215",
            "telephone_number": "307-314-2164",
            "fax_number": "307-226-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E IVINSON AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703125",
            "telephone_number": "307-314-2164",
            "fax_number": "307-226-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM CITY MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-314-2164",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.