Individual provider Active NPI

Wendy Sue Gersing, PSY, D.

  • Counselor
  • Rawlins, WY
National Provider Identifier
1164549234
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
318 Issued in WY
Practice address
214 W Maple St
Rawlins, WY 82301-5530
Phone
(307) 324-4826
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
318WYMDPhysical Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 318 WY Primary

Addresses

NPPES NPI Registry

Primary practice location

214 W Maple St
Rawlins, WY 82301-5530

Mailing address

214 W. Maple Street
Rawlins, WY 82301
Phone (307) 324-4826

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
120836200OtherWYFEDERAL OWCP
119967600MedicaidWY
310397OtherWYBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2014.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1164549234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W. MAPLE STREET",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-324-4826",
            "fax_number": "307-324-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015530",
            "telephone_number": "307-324-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSING",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSY, D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL OWCP",
            "identifier": "120836200",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119967600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "310397",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.