Individual provider Active NPI

Lynn Wolfe, LPC

  • Professional Counselor
  • Clayton, MO
National Provider Identifier
1659197937
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022048982 Issued in MO
Practice address
130 S Bemiston Ave Ste 710
Clayton, MO 63105-1913
Phone
(314) 669-6519
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2022048982 MO Primary

Addresses

Primary practice location

130 S Bemiston Ave Ste 710
Clayton, MO 63105-1913

Mailing address

10431 Frontenac Woods LN
Saint Louis, MO 63131-3422
Phone (314) 799-3434

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

LicenseStateTypeSpecialty
2022048982MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PT Counselor LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

130 S Bemiston Ave
Ste 710
Saint Louis, MO 63105
Phone (314) 325-2175

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1659197937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 FRONTENAC WOODS LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313422",
            "telephone_number": "314-799-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BEMISTON AVE STE 710",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051913",
            "telephone_number": "314-669-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022048982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.