Individual provider Active NPI

Will J Shepard, BSW MSW LCSW CAP

  • Addiction (Substance Use Disorder) Counselor
  • Douglas, WY
National Provider Identifier
1801932702
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP 35 Issued in WY
Practice address
1841 Madora Ave
Douglas, WY 82633-3057
Phone
(307) 358-2846
Fax
(307) 358-5329
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 255 WY
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 35 WY Primary

Addresses

Primary practice location

1841 Madora Ave
Douglas, WY 82633-3057

Mailing address

6 Charles St
Douglas, WY 82633-3205
Phone (307) 358-2846

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
CAP 35WYMDAddiction (Substance Use Disorder) Counselor
LCSW 255WYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1801932702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHARLES ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826333205",
            "telephone_number": "307-358-2846",
            "fax_number": "307-358-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 MADORA AVE",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826333057",
            "telephone_number": "307-358-2846",
            "fax_number": "307-358-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "WILL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "BSW MSW LCSW CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW 255",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "CAP 35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.