Active NPI
Wendy Michelle Woolf, LMHC, LCPC
- Mental Health Counselor
- Dubuque, IA
National Provider Identifier
1336338078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 096453
- Practice address
- 4121 Pennsylvania Ave
Dubuque, IA 52002 - Phone
- (630) 220-3527
- Fax
- (847) 838-9907
- NPI assigned
- Oct 18, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180006489 | IL | |
| Clinical Psychologist | 103TC0700X | 180006489 | IL | |
| Mental Health Counselor | 101YM0800X | 096453 | IA | Primary |
Addresses
Primary practice location
4121 Pennsylvania Ave
Dubuque, IA 52002
Mailing address
2219 Suzanne Drive
Dubuque, IA 52002
Phone (630) 220-3527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096453 | IA | MD | Mental Health Counselor |
| 180006489 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1336338078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 SUZANNE DRIVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "52002",
"telephone_number": "630-220-3527",
"fax_number": "847-838-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 PENNSYLVANIA AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "52002",
"telephone_number": "630-220-3527",
"fax_number": "847-838-9907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLF",
"first_name": "WENDY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LMHC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180006489",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "180006489",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "096453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.