JACKSON HOLE COMMUNITY COUNSELING CENTER – NPI #1578635462
Clinic/Center
JACKSON HOLE COMMUNITY COUNSELING CENTER is an AHC clinic located in JACKSON, WY. NPPES has assigned the NPI number 1578635462 to JACKSON HOLE COMMUNITY COUNSELING CENTER on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSON HOLE COMMUNITY COUNSELING CENTER” is a dba name, the actual legal business name for this organization is MENTAL HEALTH & RECOVERY SERVICES OF JACKSON HOLE. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)
The NPI profile was previously updated about 3 years ago on Jul 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON HOLE COMMUNITY COUNSELING CENTER below.
NPI Profile for
MENTAL HEALTH & RECOVERY SERVICES OF JACKSON HOLE
(more than 19 years ago)
All associated names:
Curran-Seeley Foundation
Jackson Hole Community Counseling Center
JACKSON, WY 83001 Phone: (307) 733-2046 Fax: (307) 733-6289
1 Other location(s):
Jackson, WY 83001-8213
Phone: (307) 733-3908
Fax: (307) 734-0017
640 EAST BROADWAY
JACKSON, WY 83001-1868 Phone: (307) 733-2046 Fax: (307) 733-6289
EXECUTIVE DIRECTOR
Phone: (307) 733-2046
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JACKSON HOLE COMMUNITY COUNSELING CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUSE CROSS BLUE SHIELD | WY | 00708001 |
| medicaid | WA | 106872503 | |
| medicaid | WY | 106872504 | |
| medicaid | WY | 106872500 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary) |
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| 261QR0405X - Clinic/Center / Rehabilitation, Substance Use Disorder |
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| 251C00000X - Day Training, Developmentally Disabled Services |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.