High Country Behavioral Health
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Evanston, WY
NPI 1891099545 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1891099545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- LPC-550 (WY)
- Legal business name
- HIGH COUNTRY BEHAVIORAL HEALTH
- Practice address
- 190 Overthrust Rd
Ste 105
Evanston, WY 82930-5205 - Phone
- (307) 789-4224
- Fax
- (307) 789-4225
- NPI assigned
- Jan 10, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Kipp L Dana, LPC, LAT
- Title
- Executive Director
- Phone
- (307) 885-9883
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 26
Practitioners 12
-
Sarah Randolph Hixson, LCSW
-
Jennifer Lee McKinney, PMHNP
-
Kristle J Wolff, CLINICAL SOCIAL WORK
-
Shayna Kearn Norton, LMFT, CADC
-
David Arendsee, LCSW
-
Coreena J Bradley, LPN
-
Ronald Janeiro Dolan, PMFT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2260176 | High Country Behavioral Health | Certificate of waiver | May 15, 2028 |
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
190 Overthrust Rd
Ste 105
Evanston, WY 82930
75 Yellow Creek Rd
Ste 105
Evanston, WY 82930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Community/Behavioral Health Agency | 251S00000X | WY | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LPC-550 | WY | Yes |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | LAT-220 | WY | |
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
190 Overthrust Rd
Ste 105
Evanston, WY 82930-5205
Mailing address
PO Box 2910
Evanston, WY 82931-2910
Phone (307) 789-4224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117847400 | Medicaid | WY |
Other providers in Evanston, WY
- Kira Heflebower
- Delynda Henderson
- High Country Behavioral Health
- High Country Behavioral Health
- High Country Behavioral Health
- High Country Behavioral Health
- High Desert Psychology and Wellness
- High Desert Wound Solutions, LLC
- Jay Hill
- Kenna J Hill
All providers in Evanston, WY · Mental Health Clinic/Center (Including Community Mental Health Center) 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.