Individual provider Active NPI

Diana Wolf, P.C.C.

  • Professional Counselor
  • Canfield, OH
National Provider Identifier
1114179199
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0500502-SUPV Issued in OH
Practice address
3768 Boardman Canfield Rd Ste 5
Canfield, OH 44406-8502
Phone
(330) 798-0491
Fax
(330) 303-4948
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0500502-SUPV OH Primary

Addresses

Primary practice location

3768 Boardman Canfield Rd Ste 5
Canfield, OH 44406-8502

Mailing address

PO Box 1098
Dallas, NC 28034-1098
Phone (330) 798-0491

Other practice location 1

1207 W State St Ste H
Alliance, OH 44601-4686
Phone (330) 798-0491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240112003224 OH Practitioner - Mental Health Counselor 1355792425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Natura Behavioral Health LLCGroup PAC ID 7810350105, 16 clinicians

Practice addresses (Care Compare)

3768 Boardman Canfield Rd
Suite 5
Canfield, OH 44406-8502
Phone (330) 798-0491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natura Behavioral Health LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1207 W State St
Ste H
Alliance, OH 44601
Phone (330) 206-1290

3768 Boardman Canfield Rd
Ste 5
Canfield, OH 44406
Phone (330) 798-0491

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1114179199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341098",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 BOARDMAN CANFIELD RD STE 5",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068502",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 W State St Ste H",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014686",
            "country_code": "US",
            "telephone_number": "330-798-0491",
            "fax_number": "330-303-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DIANA",
        "credential": "P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500502-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.