Active NPI
Shelly Wolfe, LPC
- Professional Counselor
- Warren, AR
National Provider Identifier
1245605054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainline Health Systems, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Little Rock, AR
- NPI 1164264834
-
- Mental Health Counselor
- Monticello, AR
- NPI 1689877862
-
- Federally Qualified Health Center (FQHC)
- Warren, AR
- NPI 1710606504
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.