Sara Ann Wulf

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

693 W Bullard Ave
Fresno, CA 93704-1607

Phone

(559) 916-2813

NPI assigned

Apr 12, 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

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.

• Fresh Start Youth Center Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1699226803
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1801476015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N FINE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271558",
            "telephone_number": "559-676-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 W BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041607",
            "telephone_number": "559-916-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULF",
        "first_name": "SARA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mollieshouse.org",
            "affiliation": "N",
            "address_1": "693 W Bullard Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937041607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shan Wu
• Shannon Man-Wai Wu, P.T.
• Kelly Corinne Wucherer, MD
• Madison Ryan Wuensch
• Alexander Wulf
• Katrina Wyatt, BA
• Robb Wyer, RAS
• Jonathan Scott Wylie, NP
• Megan Wyneken
• Emanie Eric Wynn

• Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.