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WOLF CREEK WELLNESS LLC
NPI 1003355090
Counselor - Addiction (Substance Use Disorder) in Wadsworth, OH

Active since February 23, 2017
680 HIGH ST STE A, WADSWORTH, OH 44281(306) 902-3373(330) 822-6955 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2023, Feb 23, 2017 (2 updates tracked since 2017).

About Wolf Creek Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOLF CREEK WELLNESS LLC (NPI 1003355090) is a healthcare organization registered as an addiction (substance use disorder) in Wadsworth, Ohio and active in the NPI registry since February 2017. The organization lists Richard Maroon, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1003355090
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameWOLF CREEK WELLNESS LLC
Location Address680 HIGH ST STE AWadsworth, OH 44281-1690
Mailing Address680 High St Ste AWadsworth, OH 44281-1690 · (330) 690-2337 · Fax (330) 822-6955
Phone(306) 902-3373
Fax(330) 822-6955
Organization SubpartNo
Authorized OfficialRichard MaroonClinical Director · (330) 690-2337
Enumeration DateFebruary 23, 2017
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1003355090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 34.009421
680 HIGH ST STE A, Wadsworth, OH 44281
Open in Google Maps ↗

Other Identifiers 2

OtherE.0007875OH · License
Medicaid0251028OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wolf Creek Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wolf Creek Wellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Richard Maroon, LPCC-S
Mental Health Counselor
NPI 1861678849
680 HIGH ST STE A
Wadsworth, OH 44281
(330) 690-2337
✔ PECOSSame address
Jan Maynor, LISW
Clinical Social Worker
NPI 1841368099
680 HIGH ST STE A
Wadsworth, OH 44281
(330) 690-2337
✔ PECOSSame address
Cheryl Van Dyke, M.S.S.A.
Clinical Social Worker
NPI 1841314085
680 HIGH ST STE A
Wadsworth, OH 44281
(330) 631-2333
✔ PECOSSame address
Rachael Bunner
Mental Health Counselor
NPI 1043823503
580 GRANT ST
Akron, OH 44311
(330) 376-9494
✔ PECOS11 mi
Shannon Kahle, LPCC
Mental Health Counselor
NPI 1548826530
130 1ST ST NW
Massillon, OH 44647
(330) 455-0374
✔ PECOS20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wolf Creek Wellness LLC's NPI number?

The NPI number for Wolf Creek Wellness LLC is 1003355090. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Wolf Creek Wellness LLC located?

Wolf Creek Wellness LLC is located at 680 High St Ste A, Wadsworth, OH 44281. The listed phone number is (306) 902-3373.

What is Wolf Creek Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Wolf Creek Wellness LLC enrolled in Medicare?

Yes. Wolf Creek Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wolf Creek Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Wolf Creek Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (3) and Clinical Social Worker (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wolf Creek Wellness LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Wolf Creek Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wolf Creek Wellness LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.