Jilian Wolfe, CADC R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-21-1050 Issued in OR

Practice address

23 NW Greenwood Ave
Bend, OR 97703-2078

Phone

(541) 383-4293

Fax

(541) 383-4935

NPI assigned

Oct 26, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Care Treatment Center

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1679427553
  NPD (past)
• Pfeifer & Associates

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1396877908
  NPD (past)

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1427712314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 NE HOLLIDAY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016033",
            "telephone_number": "541-630-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032078",
            "telephone_number": "541-383-4293",
            "fax_number": "541-383-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JILIAN",
        "credential": "CADC R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-21-1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ryan Wolf, LPC
• Caldeau Gallagher Wolf
• Caroline Quinn Wolf, LPC
• Megan Johanna Wolf, MD
• Natalie Wolf
• Brenna Elena Wolford, CRNA
• Kenneth D. Wolford
• Michael Murphy Woll, M.D.
• Jenny Marie Wolleat
• Amy Ruth Wolter

• Addiction (Substance Use Disorder) Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.