Active NPI
Levi Yitzchok Wolff, LPC
- Professional Counselor
- Kingston, PA
National Provider Identifier
1487236485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013261
- Practice address
- 630 Meadowland Ave
Kingston, PA 18704-5317 - Phone
- (570) 763-9177
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | PC013261 | PA | Primary |
Addresses
Primary practice location
630 Meadowland Ave
Kingston, PA 18704-5317
Mailing address
630 Meadowland Ave
Kingston, PA 18704-5317
Phone (347) 779-4086
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 |
|---|---|---|---|
| PC013261 | PA | MD | Professional Counselor |
Practice roles
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Kingston, PA
- NPI 1598425993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1487236485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 MEADOWLAND AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045317",
"telephone_number": "347-779-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 MEADOWLAND AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045317",
"telephone_number": "570-763-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "LEVI",
"middle_name": "YITZCHOK",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Judy A Williams
- Stephanie S Williams, LCSW
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- Gordon Bruce Wilson, LCSW
- Women to Women
- Allen Woods, D.M.D.
- Wyoming Valley Alcohol and Drug Services Inc
- Wyoming Valley Alcohol and Drug Services Inc (New Bridge Counseling)
- Wyoming Valley Foot Associates P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.