Charles H. Wyre, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT0000133 Issued in FL

Practice address

1615 Woodward St
Orlando, FL 32803-4172

Phone

(407) 896-7221

Fax

(407) 896-9670

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Harriet Laface M.S.Ed., P.a.

  • Marriage & Family Therapist
  • Orlando, FL
  • NPI 1346300647
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790980688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WOODWARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034172",
            "telephone_number": "407-896-7221",
            "fax_number": "407-896-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WOODWARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034172",
            "telephone_number": "407-896-7221",
            "fax_number": "407-896-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRE",
        "first_name": "CHARLES",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0000133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE FAMILY THERAPIST",
            "identifier": "MT0000133",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.