Active NPI
Lisa Marie Wolf, LMFT
- Marriage & Family Therapist
- Madison, WI
National Provider Identifier
1871748988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 792-124
- Practice address
- 6333 Odana Road
Orion Family Services
Madison, WI 53719-1170 - Phone
- (608) 270-2511
- Fax
- (608) 270-0467
- NPI assigned
- Nov 18, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 792-124 | WI | Primary |
Addresses
Primary practice location
6333 Odana Road
Orion Family Services
Madison, WI 53719-1170
Mailing address
742 Bear Claw Way
Apt. 105
Madison, WI 53717-2774
Phone (608) 658-5256
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 |
|---|---|---|---|
| 792-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1871748988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 BEAR CLAW WAY",
"address_2": "APT. 105",
"city": "MADISON",
"state": "WI",
"postal_code": "537172774",
"telephone_number": "608-658-5256",
"fax_number": "608-270-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 ODANA ROAD",
"address_2": "ORION FAMILY SERVICES",
"city": "MADISON",
"state": "WI",
"postal_code": "537191170",
"telephone_number": "608-270-2511",
"fax_number": "608-270-0467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "792-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.