NPIMap

Individual provider Active NPI

James W. Demshar, LAT #258

  • Counselor
  • Cheyenne, WY
National Provider Identifier
1437370145
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MA, LAT-258 Issued in WY
Practice address
4025 Rawlins St.
Cheyenne, WY 82001
Phone
(307) 426-4797
Fax
(307) 426-4799
NPI assigned
May 1, 2007
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MA, LAT-258 WY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X MA, LAT-258 WY
Addiction (Substance Use Disorder) Counselor 101YA0400X LAT-258 WY
Mental Health Counselor 101YM0800X MA, LAT-258 WY
Mental Health Counselor 101YM0800X MA,LAT#258 WY

Addresses

Primary practice location

4025 Rawlins St.
Cheyenne, WY 82001

Mailing address

2508 E Fox Farm Rd
Ste 1a
Cheyenne, WY 82007-2559
Phone (307) 635-3618

Other identifiers 1

IdentifierTypeStateIssuer
134759400MedicaidWY

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

LicenseStateTypeSpecialty
MA, LAT-258WYMDCounselor
LAT-258WYMDAddiction (Substance Use Disorder) Counselor
MA,LAT#258WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Health & Wellness Center PastSince Aug 23, 2014 Accepting new patients
Cheyenne Health & Wellness Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1437370145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 E FOX FARM RD",
            "address_2": "STE 1A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072559",
            "telephone_number": "307-635-3618",
            "fax_number": "307-635-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST.",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "307-426-4797",
            "fax_number": "307-426-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMSHAR",
        "first_name": "JAMES",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "LAT #258",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "MA, LAT-258",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "MA, LAT-258",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT-258",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "MA, LAT-258",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "MA,LAT#258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134759400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.