Active NPI
Leland Wolf, MS,LPCC,,SC
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1710082466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0000427
- Practice address
- 3821 Little York Rd
Dayton, OH 45414-2409 - Phone
- (937) 278-6705
- Fax
- (937) 264-1101
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0000427 | OH | Primary |
Addresses
Primary practice location
3821 Little York Rd
Dayton, OH 45414-2409
Mailing address
2106 University PL
Dayton, OH 45406-5965
Phone (937) 278-6705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0000427 | Other | OH | STATE LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0000427 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1710082466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 UNIVERSITY PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454065965",
"telephone_number": "937-278-6705",
"fax_number": "937-264-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 LITTLE YORK RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454142409",
"telephone_number": "937-278-6705",
"fax_number": "937-264-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LELAND",
"credential": "MS,LPCC,,SC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0000427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E0000427",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.