Michelle Lorraine Wolf, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18743 Issued in TX

Practice address

800 Rockmead Dr Ste 155
Kingwood, TX 77339-2652

Phone

(281) 900-8960

Fax

(281) 677-4199

NPI assigned

Jun 22, 2011

Last updated

Feb 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle Lorraine Herbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upword Counseling, PLLC

  • Professional Counselor
  • Kingwood, TX
  • NPI 1962049700
  NPD (past) Authorized official

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1841586344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR STE 155",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392652",
            "telephone_number": "281-900-8960",
            "fax_number": "281-677-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR STE 155",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392652",
            "telephone_number": "281-900-8960",
            "fax_number": "281-677-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Kingwood Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773393038",
            "country_code": "US",
            "telephone_number": "281-414-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICHELLE",
        "middle_name": "LORRAINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD",
            "identifier": "18743",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HERBERT",
            "middle_name": "LORRAINE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Winslow Medical Center, Inc. (Kingwood Urgent Care and Special Clinic)
• Sean Karl Winston, M.D.
• Deanne Wise
• Michael Cyprian Witkowski, D.D.S
• Michael O Woehst, D.D.S.,M.S.
• Jack Wong, PT, DPT
• Mike Alan Wong, MD
• Rachael Wong, MD
• Lance Christopher Wood, AGACNP-BC
• Rebecca Colby Wood, LMT

• Professional Counselor in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.