Wyoming Path Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WYOMING PATH BEHAVIORAL HEALTH, LLC

Practice address

431 Main St
Lander, WY 82520-3145

Phone

(307) 857-3111

NPI assigned

Jul 9, 2021

Last updated

Aug 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Peterson

Title

Operator

Phone

(307) 840-3594

Specialties & licenses 5

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.

• Jeffrey B Fowler, MD

  • Anesthesiology Physician
  • Casper, WY
  • NPI 1831241983

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1851962997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203145",
            "telephone_number": "307-857-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203145",
            "telephone_number": "307-857-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PATH BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "307-840-3594"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Downing Woodard, MD
• Wyoming Dental Imaging, LLC
• Wyoming Family Sonography, LLC
• Wyoming Life Resource Center
• Wyoming Mental Health Clinic, LLC
• Wyoming Services for Independent Living
• Wyoming Urology, P.C.
• Bradley Young, LPC
• Daniel Zacks, PARAMEDIC
• Sofia Zappi, RN

• Community/Behavioral Health Agency in Lander, WY
• Providers in Lander, WY by specialty
• Community/Behavioral Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.