Individual provider Active NPI

Lisa D. Wolfe, MS, LPC

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1811044084
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002760 Issued in MO
Practice address
1730 Prospect Ave Ste 300
Kansas City, MO 64127-2544
Phone
(816) 404-5755
Fax
(816) 231-4564
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002760 MO Primary

Addresses

Primary practice location

1730 Prospect Ave Ste 300
Kansas City, MO 64127-2544

Mailing address

1730 Prospect Ave Ste 300
Kansas City, MO 64127-2544
Phone (816) 404-5755

Other identifiers 1

IdentifierTypeStateIssuer
494780604MedicaidMO

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

LicenseStateTypeSpecialty
002760MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Centers, Inc. 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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1811044084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PROSPECT AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641272544",
            "telephone_number": "816-404-5755",
            "fax_number": "816-231-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PROSPECT AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641272544",
            "telephone_number": "816-404-5755",
            "fax_number": "816-231-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "LISA",
        "middle_name": "D.",
        "name_prefix": "Miss",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494780604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.