Sean Woll, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005022 Issued in NY

Practice address

1739 N Ocean Ave Ste a
Medford, NY 11763-2683

Phone

(631) 747-2106

NPI assigned

Jul 11, 2013

Last updated

Jul 20, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrated Counseling, PLLC

  • Mental Health Counselor
  • Medford, NY
  • NPI 1417594235
  NPD (past) Authorized official

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1568803161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N OCEAN AVE STE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632683",
            "telephone_number": "631-747-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N OCEAN AVE STE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632683",
            "telephone_number": "631-747-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLL",
        "first_name": "SEAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Susan Williams, AGPCNP
• Angela J Wiltshire, PT
• David M Winkler, M.D.
• Winston Taxi Enterprises Inc.
• Phyllis Joan Wolff, N.P.
• Michael F Wooster, DPM
• Cho-Man Wu, R. PH
• Selene Yoel, M.S. CCC-SLP;BE
• Alexandria Young, L.P.N
• Catherine Elizabeth Young

• Mental Health Counselor in Medford, NY
• Providers in Medford, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.