Individual provider Active NPI

Megan Lynn Wolf, SAC, LPC

  • Professional Counselor
  • Shullsburg, WI
National Provider Identifier
1669860060
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7061-125 Issued in WI
Practice address
121 W Water St
Shullsburg, WI 53586
Phone
(608) 379-3338
Fax
(608) 319-4579
NPI assigned
Jan 7, 2015
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16121-131 WI
Professional Counselor 101YP2500X 7061-125 WI Primary

Addresses

Primary practice location

121 W Water St
Shullsburg, WI 53586

Mailing address

121 W Water St
Shullsburg, WI 53586
Phone (608) 379-3338

Other practice location 1

131 S Monroe St
Lancaster, WI 53813-1788
Phone (608) 822-5052

Other practice location 2

1160 Lincoln Ave
Fennimore, WI 53809-1746
Phone (608) 822-5052

Other identifiers 1

IdentifierTypeStateIssuer
54510MedicaidWI

Other names 1

  • Megan Lynn Schwab Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312001949 WI Practitioner - Mental Health Counselor 8426494543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 W Water St
Shullsburg, WI 53586-7108
Phone (608) 822-5052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
GTN Fennimore, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Soul Good Counseling, LLC Professional CurrentSince May 13, 2025 Accepting new patients
Heartland Integrated Health Wi LLC Past Accepting new patients
WKM Psychology Clinics, Inc. Past Accepting new patients

Locations

1160 Lincoln Ave
Fennimore, WI 53809
Phone (608) 822-5052

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1669860060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WATER ST",
            "city": "SHULLSBURG",
            "state": "WI",
            "postal_code": "53586",
            "telephone_number": "608-379-3338",
            "fax_number": "608-319-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WATER ST",
            "city": "SHULLSBURG",
            "state": "WI",
            "postal_code": "53586",
            "telephone_number": "608-379-3338",
            "fax_number": "608-319-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "WI",
            "postal_code": "538131788",
            "country_code": "US",
            "telephone_number": "608-822-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Fennimore",
            "state": "WI",
            "postal_code": "538091746",
            "country_code": "US",
            "telephone_number": "608-822-5052",
            "fax_number": "608-822-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "credential": "SAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16121-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7061-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54510",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SCHWAB",
            "middle_name": "LYNN",
            "credential": "SAC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shullsburg, WI

Sources for this page

Verify at the official NPI Registry.