Active NPI
Mary Ann Wolf, LPC-MH
- Mental Health Counselor
- Sioux Falls, SD
National Provider Identifier
1477615813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-MN 2090
- Practice address
- 2412 S Cliff Ave
Ste 100
Sioux Falls, SD 57105-4031 - Phone
- (605) 322-4031
- Fax
- (605) 322-4080
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-MN 2090 | SD | Primary |
Addresses
Primary practice location
2412 S Cliff Ave
Ste 100
Sioux Falls, SD 57105-4031
Mailing address
PO Box 5045
Attn: P.F.S.
Sioux Falls, SD 57117-5045
Phone (605) 322-4031
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 |
|---|---|---|---|
| LPC-MN 2090 | SD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1477615813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5045",
"address_2": "ATTN: P.F.S.",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175045",
"telephone_number": "605-322-4031",
"fax_number": "605-322-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 S CLIFF AVE",
"address_2": "STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054031",
"telephone_number": "605-322-4031",
"fax_number": "605-322-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "LPC-MH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MN 2090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.