Active NPI
Mountain Regional Services, Inc
Doing business as Cornerstone Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Evanston, WY
National Provider Identifier
1962573782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MOUNTAIN REGIONAL SERVICES, INC
- Doing business as
- Cornerstone Behavioral Health
- Practice address
- 50 Allegiance Cir
Evanston, WY 82930-3804 - Phone
- (307) 789-3710
- Fax
- (307) 789-0823
- NPI assigned
- Nov 13, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Holderegger
- Title
- Ceo
- Phone
- (307) 789-3710
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
50 Allegiance Cir
Evanston, WY 82930-3804
Mailing address
PO Box 6005
Evanston, WY 82931-6005
Phone (307) 789-3710
Other names 1
- Cornerstone Behavioral Health
National Provider Directory
National Provider DirectoryLocations
50 Allegiance Cir
Evanston, WY 82930
Phone (307) 789-3710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1962573782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6005",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829316005",
"telephone_number": "307-789-3710",
"fax_number": "307-789-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALLEGIANCE CIR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303804",
"telephone_number": "307-789-3710",
"fax_number": "307-789-0823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN REGIONAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HOLDEREGGER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "307-789-3710",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"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": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.