Active NPI
Melissa Wolfe, M.A., LPCC
- Professional Counselor
- Lexington, KY
National Provider Identifier
1902045651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 279659
- Practice address
- 1056 Wellington Way Ste 160
Lexington, KY 40513-2002 - Phone
- (859) 201-1705
- NPI assigned
- Feb 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1921 | WV | |
| Professional Counselor | 101YP2500X | 279659 | KY | Primary |
Addresses
Primary practice location
1056 Wellington Way Ste 160
Lexington, KY 40513-2002
Mailing address
200 Bradford St
Charleston, WV 25301-1925
Phone (304) 347-9818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
168 E Reynolds Rd
Suite 150
Lexington, KY 40517-1360
Phone (859) 212-3180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279659 | KY | MD | Professional Counselor |
| 1921 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Muzzillo, PLLC | Current | Accepting new patients | |
| Kanawha Valley Center Inc | Past | Accepting new patients | |
| Kanawha Valley Center Inc | Past | Accepting new patients |
Locations
168 E Reynolds Rd
Ste 150
Lexington, KY 40517
Phone (859) 212-3180
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Lexington, KY
- NPI 1336614072
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Charleston, WV
- NPI 1164639373
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Charleston, WV
- NPI 1386851509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1902045651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BRADFORD ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011925",
"telephone_number": "304-347-9818",
"fax_number": "304-347-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 WELLINGTON WAY STE 160",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405132002",
"telephone_number": "859-201-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "M.A., LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-19",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1921",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "279659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.