Kelsey Renee Wolf, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

375804 Issued in TX

Practice address

4100 SW Loop 820
Fort Worth, TX 76109-5499

Phone

(817) 924-2241

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1205431616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ELIZABETH BLVD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482312",
            "telephone_number": "817-709-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SW LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095499",
            "telephone_number": "817-924-2241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Paluxy Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760482356",
            "country_code": "US",
            "telephone_number": "817-573-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KELSEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "375804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Wolf, RN, WHNP-BC
• Carter Wolf, MD
• Haley Wolf, DO
• Heather Marie Wolf, LCPC
• Karen Lee Wolf, LVN
• Michelle Lee Wolf, MSN RN FNP-C ACNP-BC
• Shannon Wolf
• Todd A Wolf, MD
• Cortney B Wolfe-Christensen, PHD
• Audra Louisa Wolfe, FNP

• Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.