Renewal Therapy of Wy, LLC
NPI 1720857030 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gillette, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renewal Therapy of Wy, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Gillette, WY (NPI 1720857030).
Provider details
- NPI number
- 1720857030
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradley Hudson, Owner(307) 209-4649
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Frequently asked questions
- What is Renewal Therapy of Wy, LLC's NPI number?
- Renewal Therapy of Wy, LLC's National Provider Identifier (NPI) is 1720857030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewal Therapy of Wy, LLC?
- Renewal Therapy of Wy, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Renewal Therapy of Wy, LLC located?
- Renewal Therapy of Wy, LLC's practice location on file with NPPES is 201 W Lakeway Rd Ste 902, Gillette, WY 82718-6345.
- What is Renewal Therapy of Wy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Renewal Therapy of Wy, LLC is (307) 209-4649.
- Does Renewal Therapy of Wy, LLC accept Medicare?
- Renewal Therapy of Wy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renewal Therapy of Wy, LLC?
- The authorized official listed on Renewal Therapy of Wy, LLC's NPPES record is Bradley Hudson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewal Therapy of Wy, LLC's NPI active?
- Yes — Renewal Therapy of Wy, LLC's NPI (1720857030) is active in the NPPES registry as of the last update on 2023-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.