Organization Active NPI

Personal Frontiers, Inc.

  • Community/Behavioral Health Agency
  • Gillette, WY
National Provider Identifier
1942458195
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSONAL FRONTIERS, INC.
Practice address
310 S Miller Ave
Gillette, WY 82716-3944
Phone
(307) 686-1189
Fax
(307) 682-8649
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Mrs. Sherry Beth Bertoncelj
Title
Executive Director
Phone
(307) 686-1189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X WY Primary

Addresses

Primary practice location

310 S Miller Ave
Gillette, WY 82716-3944

Mailing address

PO Box 754
Gillette, WY 82717-0754
Phone (307) 686-1189

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2177522Personal Frontiers Inc310 S Miller Ave, Ste G, Gillette, WY 82716Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory

Locations

310 S Miller Ave
Ste G
Gillette, WY 82716
Phone (307) 686-1189

310 S Miller Ave
Gillette, WY 82716
Phone (307) 686-1189

400 S Miller Ave
Gillette, WY 82716
Phone (307) 363-5930

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1942458195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827170754",
            "telephone_number": "307-686-1189",
            "fax_number": "307-682-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MILLER AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163944",
            "telephone_number": "307-686-1189",
            "fax_number": "307-682-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL FRONTIERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "BERTONCELJ",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-686-1189",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.