Heather Marie Wolf, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.012752 Issued in IL

Practice address

429 College Ave Apt 301
Fort Worth, TX 76104-2264

Phone

(773) 727-7321

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1669085254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 COLLEGE AVE APT 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042264",
            "telephone_number": "773-727-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 COLLEGE AVE APT 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042264",
            "telephone_number": "773-727-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILL BE PROVIDING DIGITAL  THERAPY (TELEHEALTH) FOR BETTERHELP ONLINE THERAPY",
            "identifier": "180.012752",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwolf@hawk.iit.edu",
            "affiliation": "N",
            "endpointDescription": "All information will be over telehealth through BetterHealth Company via digital platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "429 College Ave Apt 301",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristal L Woldu, M.D.
• Wolf Heart Counseling PLLC
• Amanda Lynn Wolf, RN, WHNP-BC
• Carter Wolf, MD
• Haley Wolf, DO
• Karen Lee Wolf, LVN
• Kelsey Renee Wolf, LPC
• Michelle Lee Wolf, MSN RN FNP-C ACNP-BC
• Shannon Wolf
• Todd A Wolf, MD

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.