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Jackson Hole Mental Health LLC

Clinical Social Worker in Jackson, WY · enumerated 2015 · authorized official Leah Black, Owner/Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053704726

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Hole Mental Health LLC
Practice address 310 E Broadway Ave, Jackson, WY, 83001
Phone (307) 654-7003
Enumeration date Mar 5, 2015
Last updated in NPPES Apr 1, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 742 (WY) Primary

Authorized official

Name Leah Black
Title Owner/Executive Director
Phone (307) 654-7003

Other identifiers

Identifier Type State Issuer
130859900 Medicaid WY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jackson Hole Mental Health LLC?
The NPI for Jackson Hole Mental Health LLC is 1053704726, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jackson Hole Mental Health LLC?
NPPES lists Leah Black (Owner/Executive Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-01.