Active NPI
Laura Wolf
- Professional Counselor
- Bastrop, TX
National Provider Identifier
1639664618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79970
- Practice address
- 909 Pecan St
Bastrop, TX 78602-3819 - Phone
- (512) 321-3774
- NPI assigned
- Jun 22, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 79970 | TX | Primary |
Addresses
Primary practice location
909 Pecan St
Bastrop, TX 78602-3819
Mailing address
1402 Jefferson St
Bastrop, TX 78602-3017
Phone (281) 772-4687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79970 | Other | TX | TEXAS BOARD OF PROFESSIONAL COUNSELORS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206000889 | TX | Practitioner - Mental Health Counselor | 3173972932 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of South Central Texas, Inc.
Practice addresses (Care Compare)
275 Jackson St
Bastrop, TX 78602-4316
Phone (512) 321-7137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Professional | Current | Accepting new patients |
Locations
228 Saint George St
Gonzales, TX 78629
Phone (830) 672-6511
1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374
Organizations & group practices 10
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Professional, TX
-
- Federally Qualified Health Center (FQHC)
- Seguin, TX
- NPI 1285893131
-
- Federally Qualified Health Center (FQHC)
- Victoria, TX
- NPI 1558611475
-
- Federally Qualified Health Center (FQHC)
- Lockhart, TX
- NPI 1063894855
-
- Federally Qualified Health Center (FQHC)
- Elgin, TX
- NPI 1568868370
-
- Federally Qualified Health Center (FQHC)
- Bastrop, TX
- NPI 1629471875
-
- Federally Qualified Health Center (FQHC)
- Luling, TX
- NPI 1396904686
-
- Federally Qualified Health Center (FQHC)
- Gonzales, TX
- NPI 1285650424
-
- Federally Qualified Health Center (FQHC)
- Bastrop, TX
- NPI 1407406333
-
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1639664618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 JEFFERSON ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023017",
"telephone_number": "281-772-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 PECAN ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023819",
"telephone_number": "512-321-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PROFESSIONAL COUNSELORS",
"identifier": "79970",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.