Raymond Wolf, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1003 Cloquet Ave Ste 117
Cloquet, MN 55720-1649

Phone

(218) 879-5545

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Havens of Minnesota LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cloquet, MN
  • NPI 1386352862
  NPD
• Haven Chemical Health Systems, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cloquet, MN
  • NPI 1477616068
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1790463628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 CLOQUET AVE STE 117",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201649",
            "telephone_number": "218-879-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "RAYMOND",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Drug Enterprises Inc
• Gregory White, FNP
• Nathaniel B Willgohs, PHARM.D
• Rachel Willgohs
• Winds of Change Counseling Services Inc
• Sara K Woodie, PHARMD
• Woods and Water Family Dental PLLC
• Jessica Woodward Lavan, MD
• Heather Lea Wright, MSW LGSW
• Nicholas Paul Wright

• Addiction (Substance Use Disorder) Counselor in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.