Individual provider Active NPI

Judson C McKee, MSED, PMFT

  • Marriage & Family Therapist
  • Cody, WY
National Provider Identifier
1912147299
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-148 Issued in WY
Practice address
2538 Big Horn Ave
Suite #2
Cody, WY 82414-9299
Phone
(307) 587-2197
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LMFT-148 WY
Community Health Worker 172V00000X LMFT-148 WY
Marriage & Family Therapist 106H00000X LMFT-148 WY Primary

Addresses

Primary practice location

2538 Big Horn Ave
Suite #2
Cody, WY 82414-9299

Mailing address

2538 Big Horn Ave
Suite #2
Cody, WY 82414-9299
Phone (307) 587-2197

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloud Peak Counseling Center 13 clinicians

Practice addresses (Care Compare)

401 S 23Rd St
Worland, WY 82401-3725
Phone (307) 347-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002427 WY Practitioner - Marriage and Family Therapist 6103269303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Peak Counseling Center CurrentSince Oct 20, 2024 Accepting new patients
Cloud Peak Counseling Center CurrentSince Oct 20, 2024 Accepting new patients

Locations

2538 Big Horn Ave
Cody, WY 82414
Phone (307) 587-2197

2538 Big Horn Ave
Ste 2
Cody, WY 82414
Phone (307) 587-2197

627 Wyoming Ave
Powell, WY 82435
Phone (307) 754-5687

401 S 23rd St
Worland, WY 82401
Phone (307) 347-6165

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1912147299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 BIG HORN AVE",
            "address_2": "SUITE #2",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149299",
            "telephone_number": "307-587-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 BIG HORN AVE",
            "address_2": "SUITE #2",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149299",
            "telephone_number": "307-587-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JUDSON",
        "middle_name": "C",
        "credential": "MSED, PMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": "LMFT-148",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WY",
            "license": "LMFT-148",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "LMFT-148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.