JESSICA WOLF (NPI# 1568973279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568973279 |
| Entity Type | Individual |
| Full Name | JESSICA WOLF |
| Credential | LCPC |
| Practice Address |
502 S Morris Ave Bloomington IL 61701-4884 |
| Mailing Address |
128 N Michigan St Apt C El Paso IL 61738-1076 |
| Practice Telephone | 3098207616 |
| Practice Fax Number | 3098207657 |
| Mailing Telephone | 8153262513 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180011245 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245576842 | Jessica M Wolf | Registered Nurse | 3530 S River Glen Ln, Apartment 8, Greenfield, WI 53228-1190 | 2012-12-31 |
| 1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
| 1912519307 | Jessica Lynn Wolf | Pharmacist | 7020 Massachusetts Ave, New Port Richey, FL 34653-2930 | 2020-08-18 |
| 1104441252 | Jessica Wolf | Psychiatry & Neurology | 1725 W Harrison St Ste 1118, Chicago, IL 60612-3845 | 2020-06-15 |
| 1811522006 | Jessica Wolf | Social Worker | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-08 |
| 1740652650 | Jessica Wolf | Social Worker | 314 S Manning Blvd, Albany, NY 12208-1708 | 2015-10-30 |
| 1497127344 | Jessica Wolf | Physical Therapy Assistant | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2015-10-29 |
| 1184090839 | Jessica Wolf | Occupational Therapy Assistant | 4403 Forest Hill Ave, Richmond, VA 23225-3241 | 2015-08-17 |
| 1649409897 | Jessica Nellie Wolf | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2009-07-09 |
| 1184774697 | Jessica A Wolf | Nurse Anesthetist, Certified Registered | 4231 W 16th Ave, Denver, CO 80204-1335 | 2007-01-10 |
| Street Address |
502 S MORRIS AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285693630 | Catholic Charities of The Diocese of Peoria | Clinic/Center | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2006-03-22 |
| 1447869680 | Jennifer Lauren Woodrum | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2020-07-23 |
| 1154930394 | Lucas Sawisch | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2020-07-23 |
| 1467070037 | Jordan Wayne Schaefer | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2020-07-10 |
| 1992230809 | Mychele Kenney | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2017-04-28 |
| 1255885570 | Ashley Langley | Nurse Practitioner | 502 S Morris Ave, Suite D, Bloomington, IL 61701-4884 | 2016-08-04 |
| 1144593088 | The Center for Youth and Family Solutions, Inc | Community/Behavioral Health | 502 S Morris Ave, Bloomington, IL 61701 | 2012-02-22 |
| 1669752960 | Immanuel Health Center | Clinic/Center | 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 | 2011-08-18 |
| 1861723470 | Pamala Ann Farnham | Social Worker | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2010-01-21 |
| 1366579906 | Stephanie Ann Barisch | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075162 | Angela Emily Brodine | Counselor | 5301 Hyland Greens Dr Apt 702, Bloomington, MN 55437-3909 | 2019-10-23 |
| 1184280141 | Holly Ann Wonders Myers | Counselor | 209 S Prospect Rd Ste 1, Bloomington, IL 61704-4697 | 2019-05-15 |
| 1326502246 | Jacqueline Clare Vermaat | Counselor | 418 N Main St Fl 1, Bloomington, IL 61701-3916 | 2019-01-24 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1891286191 | Jefferson Williams | Counselor | 211 N Veterans Pkwy Ste 1, Bloomington, IL 61704-3568 | 2018-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1437663275 | Counseling Resource Institute LLC | Counselor | 2422 E Washington St Ste 107, Bloomington, IL 61704-1611 | 2017-11-30 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1457728206 | Faye Freeman-smith | Counselor | 2416 E Washington St Ste A2, Bloomington, IL 61704-1608 | 2015-08-27 |
| 1902289994 | John Leslie Freshour | Counselor | 616 Iaa Dr, Bloomington, IL 61701-2225 | 2015-07-08 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.