JACKSON HOLE COMMUNITY COUNSELING CENTER
NPI 1578635462
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, WY

Active since November 15, 2006
640 E BROADWAY AVE, JACKSON, WY 83001(307) 733-2046(307) 733-6289 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2023, Feb 21, 2020 (2 updates tracked since 2020).

About Jackson Hole Community Counseling Center NPPES

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

JACKSON HOLE COMMUNITY COUNSELING CENTER (NPI 1578635462) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Wyoming and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Jackson and lists Deidre Ashley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1578635462
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENTAL HEALTH & RECOVERY SERVICES OF JACKSON HOLE
Location Address640 E BROADWAY AVEJackson, WY 83001
Mailing AddressPo Box 1868, 640 East BroadwayJackson, WY 83001-1868 · (307) 733-2046 · Fax (307) 733-6289
Fax(307) 733-6289
Organization SubpartNo
Authorized OfficialDeidre AshleyExecutive Director · (307) 733-2046
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1578635462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
640 E BROADWAY AVE, Jackson, WY 83001

Other Names 2

Doing Business AsJackson Hole Community Counseling Center
Doing Business AsCurran-seeley Foundation

Secondary Practice Location 1

Location 1610 W Broadway Ave Ste L-1Jackson, WY 83001-8213 · Phone (307) 733-3908 · Fax (307) 734-0017

Other Identifiers 4

Other00708001WY · Bluse Cross Blue Shield
Medicaid106872504WY
Medicaid106872503WA
Medicaid106872500WY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Hole Community Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Jackson Hole Community Counseling Center, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Mental Health Counselor6
Clinical Social Worker5
Marriage and Family Therapist1
Nurse Practitioner1

Clinicians, nearest first (13)

Clinical Social Worker
NPI 1992038079
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOSSame address
Mental Health Counselor
NPI 1366585390
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1497890172
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1356026694
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1275678542
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1184766446
640 E BROADWAY AVE
Jackson, WY 83301
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1982273298
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOSSame address
Clinical Social Worker
NPI 1134791551
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1962544130
640 E BROADWAY AVE
Jackson, WY 83001
(307) 733-2046
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1750605432
640 E BROADWAY
Jackson, WY 83001
(307) 732-1616
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1871037739
610 W BROADWAY AVE STE L-1
Jackson, WY 83001
(307) 733-3908
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1144603598
610 W BROADWAY AVE
Jackson, WY 83001
(307) 733-3908
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1659887297
8410 W THOMAS RD
Phoenix, AZ 85037
(602) 258-6797
✔ PECOS✔ Accepts Medicare694 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 Mental Health & Recovery Services Of Jackson Hole's NPI number?

The NPI number for Mental Health & Recovery Services Of Jackson Hole is 1578635462. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Jackson Hole Community Counseling Center and Curran-Seeley Foundation.

Where is Mental Health & Recovery Services Of Jackson Hole located?

Mental Health & Recovery Services Of Jackson Hole is located at 640 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-2046.

What is Mental Health & Recovery Services Of Jackson Hole'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.

Is Mental Health & Recovery Services Of Jackson Hole enrolled in Medicare?

Yes. Mental Health & Recovery Services Of Jackson Hole is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mental Health & Recovery Services Of Jackson Hole?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Mental Health & Recovery Services Of Jackson Hole. 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. The largest specialties are Mental Health Counselor (6), Clinical Social Worker (5) and Marriage and Family Therapist (1). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mental Health & Recovery Services Of Jackson Hole accept?

Health plans from Blue Cross Blue Shield of Wyoming list Mental Health & Recovery Services Of Jackson Hole 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 Mental Health & Recovery Services Of Jackson Hole was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.