Active NPI
Terresa Marie Humphries-Wadsworth, PH.D.
- Counseling Psychologist
- Fe Warren Afb, WY
National Provider Identifier
1811155880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 407
- Practice address
- 6900 Alden Dr
Fe Warren Afb, WY 82005-2945 - Phone
- (307) 773-2539
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 407 | WY | |
| Counseling Psychologist | 103TC1900X | 407 | WY | Primary |
Addresses
Primary practice location
6900 Alden Dr
Fe Warren Afb, WY 82005-2945
Mailing address
6900 Alden Dr
Fe Warren Afb, WY 82005-2945
Phone (307) 773-2539
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1811155880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 ALDEN DR",
"city": "FE WARREN AFB",
"state": "WY",
"postal_code": "820052945",
"telephone_number": "307-773-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ALDEN DR",
"city": "FE WARREN AFB",
"state": "WY",
"postal_code": "820052945",
"telephone_number": "307-773-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES-WADSWORTH",
"first_name": "TERRESA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "407",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WY",
"license": "407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fe Warren Afb, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.