Erin Dale Wold, LPC, NCC, PEL

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.014560 Issued in IL

Practice address

2400 Glenwood Ave Ste 126
Joliet, IL 60435-5495

Phone

(815) 730-7521

Fax

(815) 730-7524

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thriveworks Clinical - IllinoisGroup PAC ID 6800263823, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thriveworks Clinical - Illinois

  dba Thriveworks

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1164190633
  Medicare reassignment Care Compare group NPD
• Life Solutions: Integrative Healing & Well Being LLC

  dba Life Solutions

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1720462799

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1316598550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE STE 126",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355495",
            "telephone_number": "815-730-7521",
            "fax_number": "815-730-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE STE 126",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355495",
            "telephone_number": "815-730-7521",
            "fax_number": "815-730-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "ERIN",
        "middle_name": "DALE",
        "credential": "LPC, NCC, PEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SAAMS",
            "affiliation": "N",
            "endpointDescription": "SAAMS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2400 Glenwood Ave Ste 126",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604355495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian James Winkleman, M.D.
• Valerie Winterfeldt, LCSW
• Laura Kelly Wirtz, LCSW
• Michael A. Withall, CRNA
• Lauren Wojtkowski, FNP-C
• Margo M Wolf, DO
• Kevin M Woloszyn, PHARMD.
• Women's Health and Wellness, LLC
• Jennifer Lorraine Wood
• William D Woodward, M.D.

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.