Individual provider Active NPI

Aaron Wolfley, MSC, LAC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1194214197
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-15531 Issued in AZ
Practice address
2120 N Central Ave Ste 130
Phoenix, AZ 85004-1454
Phone
(602) 271-4500
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-15531 AZ Primary

Addresses

Primary practice location

2120 N Central Ave Ste 130
Phoenix, AZ 85004-1454

Mailing address

3722 E Greenway LN
Phoenix, AZ 85032-4608
Phone (602) 499-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240122002463 AZ Practitioner - Mental Health Counselor 8820440209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-15531AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Phoenix Children's Hospital Current Accepting new patients
Childhelp, Inc. PastSince Sep 20, 2022 Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1919 E Thomas Rd
Ste Amb
Phoenix, AZ 85016

1919 E Thomas Rd
Ste Ambbldg
Phoenix, AZ 85016

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

2120 N Central Ave
Ste 130
Phoenix, AZ 85004
Phone (602) 271-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1194214197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 E GREENWAY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324608",
            "telephone_number": "602-499-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N CENTRAL AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041454",
            "telephone_number": "602-271-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFLEY",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "MSC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-15531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.