TETON BEHAVIOR THERAPY
NPI 1407230766
Community/Behavioral Health in Jackson, WY

Active since July 16, 2015
480 S CACHE ST, JACKSON, WY 83001(307) 734-6040(307) 734-6040 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teton Behavior Therapy NPPES

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

TETON BEHAVIOR THERAPY (NPI 1407230766) is a healthcare organization registered as a community/behavioral health in Jackson, Wyoming and active in the NPI registry since July 2015. The organization lists Jennifer Bradof, Owner, as its authorized official.

NPPES Registry Identity

NPI1407230766
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTBT, LLC
Location Address480 S CACHE STJackson, WY 83001-8222
Mailing AddressPo Box 2299Jackson, WY 83001-2299 · (307) 734-6040 · Fax (307) 734-6040
Fax(307) 734-6040
Organization SubpartNo
Authorized OfficialJennifer BradofOwner · (307) 734-6040
Enumeration DateJuly 16, 2015
✔ NPI 1407230766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WY · LCSW-837
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
480 S CACHE ST, Jackson, WY 83001

Other Names 1

Doing Business AsTeton Behavior Therapy

Other Identifiers 1

Medicaid137887200WY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teton Behavior Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20210115001428Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Teton Behavior Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1275971442
480 S CACHE ST
Jackson, WY 83001
(307) 222-6040
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1518513852
610 W BROADWAY AVE STE L1
Jackson, WY 83001
(307) 733-3908
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1225399025
1490 GREGORY LN STE 4
Jackson, WY 83001
(307) 734-6040
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1003265521
76 N MAIN ST STE 205
Driggs, ID 83422
(307) 690-0633
✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tbt, LLC's NPI number?

The NPI number for Tbt, LLC is 1407230766. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Teton Behavior Therapy.

Where is Tbt, LLC located?

Tbt, LLC is located at 480 S Cache St, Jackson, WY 83001. The listed phone number is (307) 734-6040.

What is Tbt, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Tbt, LLC enrolled in Medicare?

Yes. Tbt, LLC is registered in the Medicare PECOS enrollment system.

When is Tbt, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tbt, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Tbt, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tbt, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and Moda Health Plan, Inc. list Tbt, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tbt, LLC was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.