Individual provider Active NPI

Wendy L Wulfken

  • Mental Health Counselor
  • Watertown, NY
National Provider Identifier
1295425668
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014339 Issued in NY
Practice address
650 State St
Watertown, NY 13601-2839
Phone
(315) 755-1251
Fax
(315) 291-6601
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 014339 NY Primary

Addresses

Primary practice location

650 State St
Watertown, NY 13601-2839

Mailing address

125 Finney Blvd
Malone, NY 12953-1067
Phone (518) 353-8054

Other practice location 1

105 Main St
Theresa, NY 13691-2129
Phone (315) 767-2455

Other practice location 2

1003 Park St
Ogdensburg, NY 13669-3911
Phone (518) 353-8054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240220002063 NY Practitioner - Mental Health Counselor 6204270044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citizen Advocates, IncGroup PAC ID 0648241976, 50 clinicians

Practice addresses (Care Compare)

31 6TH St
Malone, NY 12953-1246
Phone (518) 483-1251

Hospital & facility affiliations

  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P115565NYMDMental Health Counselor
014339NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Advocates, Inc CurrentSince Jan 24, 2024 Accepting new patients
Citizen Advocates, Inc CurrentSince Jan 24, 2024 Accepting new patients

Locations

31 6th St
Malone, NY 12953
Phone (518) 651-2254

15 Francis St
Malone, NY 12953
Phone (518) 483-7801

125 Finney Blvd
Malone, NY 12953
Phone (518) 481-8160

1003 Park St
Ogdensburg, NY 13669
Phone (315) 713-9090

650 State St
Watertown, NY 13601
Phone (315) 755-1251

Interoperability endpoints

  • Direct secure messaging: wwulfken@cahclinics.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1295425668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FINNEY BLVD",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531067",
            "telephone_number": "518-353-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012839",
            "telephone_number": "315-755-1251",
            "fax_number": "315-291-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Main St",
            "address_purpose": "LOCATION",
            "city": "Theresa",
            "state": "NY",
            "postal_code": "136912129",
            "country_code": "US",
            "telephone_number": "315-767-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Park St",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136693911",
            "country_code": "US",
            "telephone_number": "518-353-8054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WULFKEN",
        "first_name": "WENDY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.