Grace Wolf, MS, CRC, QP, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A12562 Issued in NC

Practice address

215 Memorial Dr
Jacksonville, NC 28546-6333

Phone

(910) 378-4809

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1124524400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014933",
            "telephone_number": "910-298-7167",
            "fax_number": "252-686-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333",
            "telephone_number": "910-378-4809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Queen St",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285014933",
            "country_code": "US",
            "telephone_number": "910-298-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "GRACE",
        "credential": "MS, CRC, QP, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wodowski, D.O.
• Gregory Michael Wohlgemuth, DMD
• Nicole Wojcik, LPCA
• Terrence P Wolanski, MD
• Elizabeth Anne Wolf, M.D.
• Donald Gregory Wolfe, LMFT
• Claire Wolford
• Morgan M Womack
• Wombs Window Jacksonville
• Womens Healthcare Associates PA

• Mental Health Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.