Active NPI
Diana Yvonne Walter, M.S., LPC, LMFT
- Professional Counselor
- Jackson, WY
National Provider Identifier
1376789198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-505
- Practice address
- 4125 S. Hwy 89
Pub Place Center, Office 4
Jackson, WY 83001 - Phone
- (307) 739-0888
- Fax
- (307) 733-8351
- NPI assigned
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-505 | WY | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT-072 | WY |
Addresses
Primary practice location
4125 S. Hwy 89
Pub Place Center, Office 4
Jackson, WY 83001
Mailing address
8350 S Henrys Rd
Jackson, WY 83001
Phone (307) 739-0888
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-505 | WY | MD | Professional Counselor |
| LMFT-072 | WY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1376789198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 S HENRYS RD",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-739-0888",
"fax_number": "307-733-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 S. HWY 89",
"address_2": "PUB PLACE CENTER, OFFICE 4",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-739-0888",
"fax_number": "307-733-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "DIANA",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "M.S., LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-29",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-505",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WY",
"license": "LMFT-072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.