Jonathan Wolfrum, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102291 Issued in CA

Practice address

3480 Buskirk Ave
Suite 210
Pleasant Hill, CA 94523

Phone

(925) 933-2627

NPI assigned

Jul 14, 2014

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 6, 2024 through Jan 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1265849020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE",
            "address_2": "SUITE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234341",
            "telephone_number": "925-933-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE",
            "address_2": "SUITE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "94523",
            "telephone_number": "925-933-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFRUM",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriane Lorrin Winslow
• Katherine Hardt Winter, MD
• Darby Witherspoon
• Jordan Wolf
• Robert Wolf, M.A.
• Edwin William Wolske, D.D.S.
• Carol Wong, D.D.S., M.S.
• Griselda Wong, P.A
• Sarah E Wood, PHD
• Christopher Adin Woolf, D.C.

• All providers in Pleasant Hill, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.