Active NPI
Wayne Kenneth McPherson Jr., PMFT
- Marriage & Family Therapist
- Buffalo, WY
National Provider Identifier
1043854888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- PMFT-294
- Practice address
- 512 W. Lott
Buffalo, WY 82834-1336 - Phone
- (307) 684-5531
- NPI assigned
- Nov 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | PMFT-294 | WY | Primary |
Addresses
Primary practice location
512 W. Lott
Buffalo, WY 82834-1336
Mailing address
512 W. Lott
Buffalo, WY 82834-1336
Phone (307) 684-5531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PMFT-294 | WY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1043854888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W. LOTT",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341336",
"telephone_number": "307-684-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 W. LOTT",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341336",
"telephone_number": "307-684-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "WAYNE",
"middle_name": "KENNETH",
"name_suffix": "Jr.",
"credential": "PMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-05",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WY",
"license": "PMFT-294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.