Aware Woulf Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AWARE WOULF COUNSELING LLC

Practice address

1278 Jungermann Rd Ste E
Saint Peters, MO 63376-6964

Phone

(864) 671-1313

Fax

(636) 375-4778

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Leslie Davis, MA, LPCNPI 1619437969

Title

Founder

Phone

(618) 781-8442

Specialties & licenses 2

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Davis, LPC

  • Professional Counselor
  • Chesterfield, MO
  • NPI 1619437969

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1528623964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 GREAT WARRIOR DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663737",
            "telephone_number": "618-781-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 JUNGERMANN RD STE E",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766964",
            "telephone_number": "864-671-1313",
            "fax_number": "636-375-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARE WOULF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "618-781-8442",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Peters, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.