Active NPI
James M. R. Mahaffey, EDD
- Professional Counselor
- Rock Springs, WY
National Provider Identifier
1801197975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 642
- Practice address
- 2001 Dewar Dr
#207
Rock Springs, WY 82901-5773 - Phone
- (307) 382-3058
- NPI assigned
- Nov 5, 2010
- Last updated
- Nov 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 642 | WY | Primary |
Addresses
Primary practice location
2001 Dewar Dr
#207
Rock Springs, WY 82901-5773
Mailing address
521 Daytona Dr
Rock Springs, WY 82901-6867
Phone (307) 212-6644
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 642 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289001600000",
"number": "1801197975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 DAYTONA DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829016867",
"telephone_number": "307-212-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 DEWAR DR",
"address_2": "#207",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015773",
"telephone_number": "307-382-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAFFEY",
"first_name": "JAMES",
"middle_name": "M. R.",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-05",
"last_updated": "2010-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC 642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.