Paul Gessford, MFT MAC
Individual provider Active NPI Marriage & Family Therapist · Alpine, WY
NPI 1669689089 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1669689089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT207 (WY)
- Practice address
- 185 N Hwy 89
Alpine, WY 83128 - Phone
- (307) 654-2226
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAC NAADAC 507070 | NV | MD | Addiction (Substance Use Disorder) Counselor |
| LAT367 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| 0611 | NV | MD | Marriage & Family Therapist |
| MFT207 | WY | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MAC NAADAC 507070 | NV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT367 | WY | |
| Marriage & Family Therapist | 106H00000X | 0611 | NV | |
| Marriage & Family Therapist | 106H00000X | MFT207 | WY | Yes |
Addresses
Primary practice location
185 N Hwy 89
Alpine, WY 83128
Mailing address
PO Box 3146
Alpine, WY 83128-0146
Phone (307) 654-2226
Other providers in Alpine, WY
- Broulim Supermarkets, LLC
- Amanda L Cuevas
- Julie Davis
- Dental Care of Jackson Hole, LLC
- Melissa Kathleen Franklin
- Hadden F Goodman
- Lacey Erickson Haas
- Morgan Kinnes
- Lincare Inc.
- Ted R. Loyd
All providers in Alpine, WY · Marriage & Family Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. 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.