Individual provider Active NPI

Susan Stallings Wolfe, LPC, NCC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1447493697
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2009001523 Issued in MO
Practice address
222 S Meramec Ave
Suite 303
Saint Louis, MO 63105-3514
Phone
(314) 717-1727
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2009001523 MO Primary

Addresses

Primary practice location

222 S Meramec Ave
Suite 303
Saint Louis, MO 63105-3514

Mailing address

222 S Meramec Ave
Suite 303
Saint Louis, MO 63105-3514
Phone (314) 717-1727

Other names 1

  • Susan Jane French Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2009001523MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1447493697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MERAMEC AVE",
            "address_2": "SUITE 303",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053514",
            "telephone_number": "314-717-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MERAMEC AVE",
            "address_2": "SUITE 303",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053514",
            "telephone_number": "314-717-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SUSAN",
        "middle_name": "STALLINGS",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009001523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FRENCH",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.