Active NPI
Jeffrey Stuart Wolfish, LCPC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1811282130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP6100
- Practice address
- 5750 Park Heights Ave
Baltimore, MD 21215-3930 - Phone
- (410) 843-7384
- Fax
- (410) 843-7585
- NPI assigned
- Jun 15, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP6100 | MD | Primary |
Addresses
Primary practice location
5750 Park Heights Ave
Baltimore, MD 21215-3930
Mailing address
3108 Hatton Rd
Pikesville, MD 21208-4513
Phone (201) 787-1216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6100 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1811282130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 HATTON RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084513",
"telephone_number": "201-787-1216",
"fax_number": "410-843-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 PARK HEIGHTS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153930",
"telephone_number": "410-843-7384",
"fax_number": "410-843-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFISH",
"first_name": "JEFFREY",
"middle_name": "STUART",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP6100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.