| Yellowstone Behavioral Health Center | |
|
2538 Big Horn Ave Cody WY 82414-9299 | |
| (307) 587-2197 | |
| (307) 527-6218 |
| Full Name | Yellowstone Behavioral Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2538 Big Horn Ave, Cody, Wyoming |
| Authorized Official Name and Position | Rebecca Ransom (CFO) |
| Authorized Official Contact | 3075872197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellowstone Behavioral Health Center 2538 Big Horn Ave Cody WY 82414-9299 Ph: (307) 587-2197 | Yellowstone Behavioral Health Center 2538 Big Horn Ave Cody WY 82414-9299 Ph: (307) 587-2197 |
| NPI Number | 1962447375 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 10/26/2015 |
| Medicare PECOS PAC ID | 0143325134 |
|---|---|
| Medicare Enrollment ID | O20081028000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962447375 | NPI | - | NPPES |
| 106060104 | Medicaid | WY | |
| 106060100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hanna R Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500097 PECOS PAC ID: 7810325594 Enrollment ID: I20200311000679 |
| Provider Name | Amanda Caffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376143222 PECOS PAC ID: 4385056951 Enrollment ID: I20201224000336 |
| Provider Name | Lindsey Loughran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972165009 PECOS PAC ID: 2668861865 Enrollment ID: I20211109002692 |
| Provider Name | Gerard Baumstarck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861786360 PECOS PAC ID: 0244698553 Enrollment ID: I20230620000048 |
| Provider Name | Janet B Rosenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770628836 PECOS PAC ID: 1557628658 Enrollment ID: I20240202003923 |
| Provider Name | Linda M Trask |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417349226 PECOS PAC ID: 2860835105 Enrollment ID: I20240203000506 |
| Provider Name | Judson C Mckee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912147299 PECOS PAC ID: 6103269303 Enrollment ID: I20240205002427 |
| Provider Name | Kayla M Cates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225471642 PECOS PAC ID: 7618310681 Enrollment ID: I20240206004141 |
| Provider Name | Brad T Overholser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184023376 PECOS PAC ID: 8426493362 Enrollment ID: I20240229004133 |
Gateway Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Beck Ave, Cody, WY 82414 Phone: 307-587-8889 | |
Daniel Cossaboon Private Practice Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 14th St, Cody, WY 82414 Phone: 307-250-7527 | |
Frontier Neurosciences, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1008 13th St, Suite A, Cody, WY 82414 Phone: 307-578-1985 Fax: 307-578-1938 | |
Fern Ridge Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1120 Beck Ave, Cody, WY 82414 Phone: 307-578-7601 | |
Mindful Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Stampede Ave, Cody, WY 82414 Phone: 307-250-2988 | |
Encompass Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1735 Sheridan Ave Ste 221, Cody, WY 82414 Phone: 307-202-3452 | |
Phoenix Rising Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 14th St, Cody, WY 82414 Phone: 307-587-6288 |