William August Wolf, MA, NCC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00546900 Issued in NJ

Practice address

350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123

Phone

(973) 726-4533

NPI assigned

Feb 25, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674

  Mental Health

  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1447844824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 2ND AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711511",
            "telephone_number": "201-207-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711123",
            "telephone_number": "973-726-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "WILLIAM",
        "middle_name": "AUGUST",
        "credential": "MA, NCC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00546900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "address_1": "350 Sparta Ave Ste C2A",
            "city": "Sparta",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078711123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-NJ Inc
• Danielle Wittner
• Womens Diagnostic Center, P.a. (The ImageCare Centers)
• Brittany Anne Wool, LPC
• Catherine Marie Wroclawski, DMD
• WSSH Powerback Rehabilitation Services, LLC
• Angelique Wygonowski, PA-C

• Mental Health Counselor in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.