Active NPI
Pamela F Wolf, LCPC
- Counselor
- La Salle, IL
National Provider Identifier
1164501078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 146 Gooding Street
La Salle, IL 61301 - Phone
- (815) 224-4522
- Fax
- (815) 223-8055
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | Primary |
Addresses
Primary practice location
146 Gooding Street
La Salle, IL 61301
Mailing address
146 Gooding Street
La Salle, IL 61301
Phone (815) 224-4522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5021003 | Other | IL | BCBS |
| 0025040240 | Other | IL | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180000427 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Counseling Group LLP | Counselor | Past | Accepting new patients |
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.
-
- Counselor
- Lasalle, IL
- NPI 1508910050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164501078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 GOODING STREET",
"city": "LA SALLE",
"state": "IL",
"postal_code": "61301",
"telephone_number": "815-224-4522",
"fax_number": "815-223-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 GOODING STREET",
"city": "LA SALLE",
"state": "IL",
"postal_code": "61301",
"telephone_number": "815-224-4522",
"fax_number": "815-223-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "PAMELA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5021003",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0025040240",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.