NPIMap

Organization Active NPI

Cloud Peak Counseling Center

Doing business as Oxbow Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worland, WY
National Provider Identifier
1861577140
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLOUD PEAK COUNSELING CENTER
Doing business as
Oxbow Center
Practice address
401 S 23Rd St
Worland, WY 82401
Phone
(307) 347-6165
Fax
(307) 347-6166
NPI assigned
Oct 26, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mary Jean JohnsonNPI 1861793390
Title
Ceo
Phone
(307) 250-2369

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X WY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WY Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X WY
Recovery Care Clinic/Center 261QR0800X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

401 S 23Rd St
Worland, WY 82401

Mailing address

401 S 23Rd St
Worland, WY 82401
Phone (307) 347-6165

Other practice location 1

1114 Lane 12
Lovell, WY 82431-9555
Phone (307) 548-6543

Other practice location 2

116 S 3rd St
Basin, WY 82410
Phone (307) 568-2020

Other practice location 3

627 Wyoming Ave
Powell, WY 82435-2523
Phone (307) 754-5687

Other practice location 4

2538 Big Horn Ave
Cody, WY 82414-9299
Phone (307) 587-2197

Other identifiers 7

IdentifierTypeStateIssuer
106352906MedicaidWY
106352907MedicaidWY
106352905MedicaidWY
106352908MedicaidWY
106352904MedicaidWY
106352900MedicaidWY
106352903MedicaidWY

Other names 2

  • Oxbow Center Doing business as
  • Washakie Mental Health Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160725001670 WY Part B Supplier - Clinic/Group Practice 3476659699 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Worland, WY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

627 Wyoming Ave
Powell, WY 82435
Phone (307) 754-5687

206 S 7th St
Worland, WY 82401
Phone (307) 347-6165

401 S 23rd St
Worland, WY 82401
Phone (307) 347-6165

Practitioners & affiliated clinicians

Practitioners 125

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.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1861577140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 23RD ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-6165",
            "fax_number": "307-347-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 23RD ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-6165",
            "fax_number": "307-347-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Lane 12",
            "address_purpose": "LOCATION",
            "city": "Lovell",
            "state": "WY",
            "postal_code": "824319555",
            "country_code": "US",
            "telephone_number": "307-548-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Basin",
            "state": "WY",
            "postal_code": "82410",
            "country_code": "US",
            "telephone_number": "307-568-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352523",
            "country_code": "US",
            "telephone_number": "307-754-5687",
            "fax_number": "307-754-5697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2538 Big Horn Ave",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824149299",
            "country_code": "US",
            "telephone_number": "307-587-2197",
            "fax_number": "307-527-6218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLOUD PEAK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-250-2369"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352906",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352907",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352905",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352908",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352904",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352900",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106352903",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxbow Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washakie Mental Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Washakie Mental Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.