Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEADWATERS MENTAL HEALTH AND WELLNESS LLC
NPI 1184535064
Nurse Practitioner - Psychiatric/Mental Health in Jackson, WY

Q: What is Headwaters Mental Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 17, 2026

690 S HWY 89 STE 201, JACKSON, WY 83001(307) 264-0628 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Headwaters Mental Health And Wellness Llc NPPES

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

HEADWATERS MENTAL HEALTH AND WELLNESS LLC (NPI 1184535064) is a healthcare organization registered as a psychiatric/mental health in Jackson, Wyoming and active in the NPI registry since September 2026. The organization lists Eve Grinnell Barnett, Owner, as its authorized official.

NPPES Registry Identity

NPI1184535064

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameHEADWATERS MENTAL HEALTH AND WELLNESS LLC

Location Address690 S HWY 89 STE 201Jackson, WY 83001-8508

Mailing AddressPo Box 1243Jackson, WY 83001-1243 · (307) 264-0628

Phone(307) 264-0628

Organization SubpartNo

Authorized OfficialEve Grinnell BarnettOwner · (503) 505-1468

Enumeration DateSeptember 17, 2026

NPPES CertifiedSeptember 16, 2026

✔ NPI 1184535064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

690 S HWY 89 STE 201, Jackson, WY 83001

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. REBECCA L WHITE PMHNP, FNP

Nurse Practitioner

690 S HWY 89 STE 201
JACKSON, WY 83001

Teton County (307) 690-4521

VANESSA ANNE FABIAN LCSW

Social Worker (Clinical)

690 S HWY 89 STE 201
JACKSON, WY 83001

Teton County (307) 200-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Headwaters Mental Health And Wellness LLC's NPI number?

The NPI number for Headwaters Mental Health And Wellness LLC is 1184535064. It was assigned to this organization in the NPPES registry on September 17, 2026.

Where is Headwaters Mental Health And Wellness LLC located?

Headwaters Mental Health And Wellness LLC is located at 690 S Hwy 89 Ste 201, Jackson, WY 83001. The listed phone number is (307) 264-0628.

What is Headwaters Mental Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Headwaters Mental Health And Wellness LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.