Jena Cowen
Individual provider Active NPI Community/Behavioral Health Agency · Gillette, WY
NPI 1902298029 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1902298029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 5305 Cowen Drive
Gillette, WY 82718 - Phone
- (307) 299-0567
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | WY | Yes |
Addresses
Primary practice location
5305 Cowen Drive
Gillette, WY 82718
Mailing address
PO Box 3365
Gillette, WY 82717-3365
Phone (307) 299-0567
Other practice location 1
905 N Gurley Ave
Gillette, WY 82716-2109
Phone (307) 686-2530 ext. 4113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-2756226 | Medicaid | WY |
Other providers in Gillette, WY
- Courage to Change Counseling
- Courage to Change Counseling LLC
- Courage to Change LLC
- Haleigh Elizabeth Cowdrey
- Cowen Consulting & Welness, LLC
- Kevyann Cowley
- Sally Joy Craig
- Jessi Rae Crain
- Misty Cummings
- Karla Marie Curtis
All providers in Gillette, WY · Community/Behavioral Health Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.