Jillian Wolf, PH.D. - HSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

TN3103 Issued in TN

Practice address

433 Nissan Drive
Ste. 303
Smyrna, TN 37167-4360

Phone

(615) 972-6644

Fax

(615) 624-9114

NPI assigned

Jul 5, 2013

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Wolf Counseling, LLC

  dba Jillian Wolf, Ph.D., HSP

  • Psychologist
  • Nashville, TN
  • NPI 1477031755
  Authorized official Same address or phone

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1508206590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 NISSAN DRIVE",
            "address_2": "STE. 303",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674360",
            "telephone_number": "615-972-6644",
            "fax_number": "615-624-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 NISSAN DRIVE",
            "address_2": "STE. 303",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674360",
            "telephone_number": "615-972-6644",
            "fax_number": "615-624-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JILLIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D. - HSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3103",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "TN3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Wilson, PA-C
• Heidi Winstead, DPT
• Kecia A Wisdom, APN
• Cameron Grace Wit
• Barbara Anne Witteman
• Rachael B. Wolfe
• Womens Imaging Solutions PLC
• Wonderfully Made Catering LLC
• Cynthia Leigh Wood, OTRL OTD
• Lisa C Wood, NP

• Psychologist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.