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

Q: 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.

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: July 26, 2026.

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

On this page

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

Phone(307) 733-2046

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

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

640 E BROADWAY AVE, Jackson, WY 83001

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

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.

ELIZABETH H GILMOUR LPC

Counselor (Professional)