LUPINE MENTAL HEALTH AND INTEGRATIVE PSYCHIATRY LLC
NPI 1871103127
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, WY

Active since August 02, 2020
125 E PEARL AVE STE 207, JACKSON, WY 83001(307) 203-2656 Get Directions Write a Review

NPPES record last updated: August 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lupine Mental Health And Integrative Psychiatry Llc NPPES

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

LUPINE MENTAL HEALTH AND INTEGRATIVE PSYCHIATRY LLC (NPI 1871103127) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Wyoming and active in the NPI registry since August 2020. The organization lists Susan G Wolff, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1871103127
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLUPINE MENTAL HEALTH AND INTEGRATIVE PSYCHIATRY LLC
Location Address125 E PEARL AVE STE 207Jackson, WY 83001-8599
Mailing AddressPo Box 1132Jackson, WY 83001-1132
Organization SubpartNo
Authorized OfficialSusan G WolffPsychiatric Nurse Practitioner · (307) 203-2656
Enumeration DateAugust 2, 2020
NPPES CertifiedAugust 2, 2020
✔ NPI 1871103127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
125 E PEARL AVE STE 207, Jackson, WY 83001

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)

Lupine Mental Health And Integrative Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lupine Mental Health And Integrative Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1558912477
745 BUENA VISTA DR
Lander, WY 82520
(307) 332-2941
✔ PECOS✔ Accepts Medicare112 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 Lupine Mental Health And Integrative Psychiatry LLC's NPI number?

The NPI number for Lupine Mental Health And Integrative Psychiatry LLC is 1871103127. It was assigned to this organization in the NPPES registry on August 2, 2020.

Where is Lupine Mental Health And Integrative Psychiatry LLC located?

Lupine Mental Health And Integrative Psychiatry LLC is located at 125 E Pearl Ave Ste 207, Jackson, WY 83001. The listed phone number is (307) 203-2656.

What is Lupine Mental Health And Integrative Psychiatry LLC'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 Lupine Mental Health And Integrative Psychiatry LLC enrolled in Medicare?

Yes. Lupine Mental Health And Integrative Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lupine Mental Health And Integrative Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lupine Mental Health And Integrative Psychiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lupine Mental Health And Integrative Psychiatry LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Lupine Mental Health And Integrative Psychiatry 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 Lupine Mental Health And Integrative Psychiatry LLC was last updated on August 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.