Individual provider Active NPI

Jennifer L. Wolman, MA., LMFT

  • Marriage & Family Therapist
  • Yakima, WA
National Provider Identifier
1801149679
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002233 Issued in WA
Practice address
6 S 2ND St Ste 403
C/O Beacon of Light Family Counseling
Yakima, WA 98901-2629
Phone
(509) 406-3170
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002233 WA Primary

Addresses

Primary practice location

6 S 2ND St Ste 403
C/O Beacon of Light Family Counseling
Yakima, WA 98901-2629

Mailing address

6 S 2ND St Ste 403
C/O Beacon of Light Family Counseling
Yakima, WA 98901-2629
Phone (509) 406-3170

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 Arts

State licenses

LicenseStateTypeSpecialty
LF00002233WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon of Light Family Counseling, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1801149679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S 2ND ST STE 403",
            "address_2": "C/O BEACON OF LIGHT FAMILY COUNSELING",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012629",
            "telephone_number": "509-406-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S 2ND ST STE 403",
            "address_2": "C/O BEACON OF LIGHT FAMILY COUNSELING",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012629",
            "telephone_number": "509-406-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLMAN",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MA., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.