Individual provider Active NPI

Judith R Rolfs, MA. LPC

  • Mental Health Counselor
  • Elkhorn, WI
National Provider Identifier
1902054026
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
952-125 Issued in WI
Practice address
1 1/2 W Geneva St
Elkhorn, WI 53121-1722
Phone
(262) 723-3424
Fax
(262) 723-8308
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 952-125 WI Primary

Addresses

Primary practice location

1 1/2 W Geneva St
Elkhorn, WI 53121-1722

Mailing address

1 1/2 W. Geneva Street
Elkhorn, WI 53121-0735
Phone (262) 723-3424

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

LicenseStateTypeSpecialty
952-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Credence Therapy Associates Inc PastSince Aug 1, 2002 Accepting new patients
American Behavioral Clinics, SC Past Accepting new patients

Organizations & group practices 2

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1902054026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 1/2 W. GENEVA STREET",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531210735",
            "telephone_number": "262-723-3424",
            "fax_number": "262-723-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424",
            "fax_number": "262-723-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFS",
        "first_name": "JUDITH",
        "middle_name": "R",
        "credential": "MA. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "952-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.