Individual provider Active NPI

Shelly Wolfe, LPC

  • Professional Counselor
  • Warren, AR
National Provider Identifier
1245605054
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1012 E Church St Ste B
Warren, AR 71671-3530
Phone
(870) 226-6786
Fax
(870) 226-6786
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 Primary

Addresses

Primary practice location

1012 E Church St Ste B
Warren, AR 71671-3530

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240315001787 AR Practitioner - Clinical Social Worker 4587000203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc CurrentSince Sep 28, 2024 Accepting new patients
Mainline Health Systems, Inc Past Accepting new patients
Living Hope Southeast, LLC Past Accepting new patients

Locations

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-4302

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1245605054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E CHURCH ST STE B",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713530",
            "telephone_number": "870-226-6786",
            "fax_number": "870-226-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SHELLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.