JESSICA WOLF LCPC NPI 1568973279

NPI Information

  • NPI: 1568973279
  • Provider Name: JESSICA WOLF, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 502 S MORRIS AVE
    BLOOMINGTON, IL
    ZIP 61701
  • Phone: (309) 820-7616

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NPI Details

Jessica Wolf, LCPC is a professional counselor in Bloomington, IL with 11 years of experience. Jessica Wolf, LCPC NPI is 1568973279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

502 S MORRIS AVE
BLOOMINGTON, IL
ZIP 61701-884
Phone: (309) 820-7616
Fax: (309) 820-7657

The NPI 1568973279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/20/2017 and was last updated on 10/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180011245ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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