Scott Imperatore, M.S., LMFT
Individual provider Active NPI Counselor · Afton, WY
NPI 1124253174 · NPPES record last updated May 20, 2009
Key facts
- NPI
- 1124253174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LMFT 140 (WY)
- Practice address
- 389 Adams Street
Afton, WY 83110 - Phone
- (307) 885-9883
- Fax
- (307) 885-5206
- NPI assigned
- May 20, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 140 | WY | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LMFT 140 | WY | Yes |
Addresses
Primary practice location
389 Adams Street
Afton, WY 83110
Mailing address
P.O. Box 376
389 Adams Street
Afton, WY 83110
Phone (307) 885-9883
Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.