Jessica Wolfal, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2003029 Issued in OH

Practice address

1314 Shasta Dr
Colorado Springs, CO 80910-1920

Phone

(254) 458-9035

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rebirth Counseling and Therapy Services LLC

  • Mental Health Counselor
  • Beachwood, OH
  • NPI 1659843555
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1699448035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 SHASTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101920",
            "telephone_number": "254-458-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SHASTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101920",
            "telephone_number": "254-458-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24300 Chagrin Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225629",
            "country_code": "US",
            "telephone_number": "216-200-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFAL",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2003029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jesswolfal@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gmail - personal email",
            "address_1": "1314 Shasta Dr",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809101920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frederick C Wolf, MD
• Giulia Wolf
• Jazmine Wolf
• Thomas Wolf
• Thomas Fredrick Wolf III
• Brittany Wolfe, ADDC
• Danyele Dajana Wolfe, LPC
• Deanna Joy Wolfe, NNP
• Jack Magbanua Wolfe, LMT
• Kaelyn Wolfe

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.