HIGH COUNTRY BEHAVIORAL HEALTH
NPI 1134890650
Clinic/Center - Mental Health (Including Community Mental Health Center) in Douglas, WY

Q: What is High Country Behavioral Health's NPI number?

The NPI number for High Country Behavioral Health is 1134890650. It was assigned to this organization in the NPPES registry on September 23, 2021.

Q: What is High Country Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 23, 2021CLIA 53D2260176 · Waiver

1841 MADORA AVE, DOUGLAS, WY 82633(307) 358-2846(307) 789-4225 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Mar 13, 2023, Jun 8, 2022 and 1 more (4 updates tracked since 2021).

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About High Country Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGH COUNTRY BEHAVIORAL HEALTH (NPI 1134890650) is a healthcare organization registered as a mental health (including community mental health center) in Douglas, Wyoming and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Shannon Nizer, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1134890650

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameHIGH COUNTRY BEHAVIORAL HEALTH

Location Address1841 MADORA AVEDouglas, WY 82633-3057

Mailing AddressPo Box 376Afton, WY 83110-0376 · (307) 789-4224 · Fax (307) 789-4225

Phone(307) 358-2846

Fax(307) 789-4225

Organization SubpartNo

Authorized OfficialShannon NizerCredentialing Specialist · (307) 885-9888

Enumeration DateSeptember 23, 2021

Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1134890650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

1841 MADORA AVE, Douglas, WY 82633

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2260176

High Country Behavioral Health · Evanston, WY

Active · expires May 15, 2028

CLIA Number53D2260176

Laboratory TypePhysician Office

Certificate Effective DateMay 16, 2026

Certificate Expiration DateMay 15, 2028

Laboratory DirectorCindy Larson

Laboratory Phone(307) 789-4224

Laboratory LocationHigh Country Behavioral Health190 Overthrust Rd, Evanston, WY 82930

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATTI COBB

Community Health Worker