Individual provider Active NPI

Jacques P. Herter, PH.D.

  • Psychologist
  • Casper, WY
National Provider Identifier
1932249935
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
93 Issued in WY
Practice address
535 W Yellowstone Hwy
Suite 202
Casper, WY 82601-7507
Phone
(307) 235-9004
Fax
(866) 467-2018
NPI assigned
Feb 7, 2007
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 93 WY Primary

Addresses

Primary practice location

535 W Yellowstone Hwy
Suite 202
Casper, WY 82601-7507

Mailing address

535 W Yellowstone Hwy Ste 202
Casper, WY 82601-7508
Phone (307) 235-9004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
93WYMDPsychologist
093WYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1932249935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W YELLOWSTONE HWY STE 202",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826017508",
            "telephone_number": "307-235-9004",
            "fax_number": "866-467-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W YELLOWSTONE HWY",
            "address_2": "SUITE 202",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826017507",
            "telephone_number": "307-235-9004",
            "fax_number": "866-467-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTER",
        "first_name": "JACQUES",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WY",
            "license": "93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.