Wolf Creek Wellness Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WOLF CREEK WELLNESS CENTER, LLC

Practice address

360 Trailwood Dr
Prescott, AZ 86301-8635

Phone

(928) 800-0169

NPI assigned

Dec 27, 2024

Last updated

Dec 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathon Ciampa

Title

Ceo

Phone

(928) 379-4075

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1023826757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GURLEY ST STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TRAILWOOD DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018635",
            "telephone_number": "928-800-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CREEK WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CIAMPA",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-379-4075"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R Wipprecht, FNP
• WM. Wade Collison MD (Prescott Plastic Surgery)
• Wojciak Enterprises Inc
• Benjamin Bronson Wojciak, D.C.
• Wolf Creek Recovery LLC
• Robert Wolfe, FNP
• Michele Frances Wolfgram, FNP
• Women on the Move, LLC
• Womens Medical Care PC
• Ashley Danielle Wood, MA, LPC

• Substance Abuse Rehabilitation Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.