Individual provider Active NPI

Carolyn Wolfe Dash, M.S., LPC, NCC

  • Professional Counselor
  • Exton, PA
National Provider Identifier
1104281971
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007921 Issued in PA
Practice address
306 Exton CMNS
Exton, PA 19341-2450
Phone
(610) 968-1236
NPI assigned
Dec 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X PC007921 PA
Professional Counselor 101YP2500X PC007921 PA Primary

Addresses

Primary practice location

306 Exton CMNS
Exton, PA 19341-2450

Mailing address

411 Earlington Rd
Havertown, PA 19083-5623
Phone (610) 283-2177

Other practice location 1

411 Earlington Rd
Havertown, PA 19083-5623
Phone (610) 283-2177

Other names 1

  • Carolyn Jane Wolfe Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC007921PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Family Counseling Professional CurrentSince Jan 17, 2021 Accepting new patients

Locations

306 Exton Cmns
Exton, PA 19341
Phone (610) 968-1236

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1104281971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 EARLINGTON RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835623",
            "telephone_number": "610-283-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412450",
            "telephone_number": "610-968-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Earlington Rd",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190835623",
            "country_code": "US",
            "telephone_number": "610-283-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASH",
        "first_name": "CAROLYN",
        "middle_name": "WOLFE",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "PC007921",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WOLFE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.