Active NPI
Jeffery Allen Wolfe, LPC
- Professional Counselor
- Carlisle, PA
National Provider Identifier
1093210668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009847
- Practice address
- 1904 Sterretts Gap Ave
Carlisle, PA 17013-1060 - Phone
- (717) 261-9173
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC009847 | PA | |
| Professional Counselor | 101YP2500X | PC009847 | PA | Primary |
Addresses
Primary practice location
1904 Sterretts Gap Ave
Carlisle, PA 17013-1060
Mailing address
617 16TH St
New Cumberland, PA 17070-1322
Phone (717) 516-5003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240506004418 | PA | Practitioner - Mental Health Counselor | 6305286444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009847 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1093210668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 16TH ST",
"city": "NEW CUMBERLAND",
"state": "PA",
"postal_code": "170701322",
"telephone_number": "717-516-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 STERRETTS GAP AVE",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170131060",
"telephone_number": "717-261-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "JEFFERY",
"middle_name": "ALLEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC009847",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.