Active NPI
Kendall Marie Wolz, LPC
- Professional Counselor
- Duluth, GA
National Provider Identifier
1679344238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 013914
- Practice address
- 3505 Duluth Park LN Ste 200
Duluth, GA 30096-3203 - Phone
- (770) 497-9122
- NPI assigned
- Jan 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7657 | LA | |
| Professional Counselor | 101YP2500X | 013914 | GA | Primary |
Addresses
Primary practice location
3505 Duluth Park LN Ste 200
Duluth, GA 30096-3203
Mailing address
P.O. Box 1329
Attn: Kendall Wolz
Duluth, GA 30096
Phone (770) 497-9122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013914 | GA | MD | Professional Counselor |
| 7657 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1679344238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1329",
"address_2": "ATTN: KENDALL WOLZ",
"city": "DULUTH",
"state": "GA",
"postal_code": "30096",
"telephone_number": "770-497-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 DULUTH PARK LN STE 200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963203",
"telephone_number": "770-497-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLZ",
"first_name": "KENDALL",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "7657",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "013914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.