DR. NICOLE J WOLF PHD, LP
NPI 1295006203
Psychologist in Flagstaff, AZ

Active since January 23, 2012PECOS Enrolled
1515 E CEDAR AVE STE B-4, FLAGSTAFF, AZ 86004(928) 779-4550(928) 779-4493 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nicole J Wolf Phd, Lp NPPES

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

DR. NICOLE J WOLF PHD, LP (NPI 1295006203) is an individual psychologist in Flagstaff, Arizona, licensed in Minnesota (LP5468) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Peter.

NPPES Registry Identity

NPI1295006203
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICOLE J WOLFCredential: PHD, LP
Location Address1515 E CEDAR AVE STE B-4Flagstaff, AZ 86004-1645
Mailing Address3450 N 3rd StPhoenix, AZ 85012-2331 · (602) 351-6986 · Fax (602) 266-9025
Fax(928) 779-4493
Sole ProprietorNo
Enumeration DateJanuary 23, 2012
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1295006203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP5468
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1515 E CEDAR AVE STE B-4, Flagstaff, AZ 86004

Secondary Practice Location 1

Location 1116 S 3rd StSaint Peter, MN 56082-2043 · Phone (507) 931-8040 · Fax (507) 931-8060

Other Identifiers 1

OtherLP5468MN · License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole J Wolf Phd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Wolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1515 E CEDAR AVE # B-2B3B4
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Arizona enrollment
  • 137 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1515 E CEDAR AVE STE B-4
FLAGSTAFF, AZ 86004
Counselor (Mental Health)
1515 E CEDAR AVE STE B-4
FLAGSTAFF, AZ 86004

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 Nicole Wolf's NPI number?

The NPI number for Nicole Wolf is 1295006203. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Nicole Wolf located?

Nicole Wolf practices at 1515 E Cedar Ave Ste B-4, Flagstaff, AZ 86004. The listed phone number is (928) 779-4550.

What is Nicole Wolf's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nicole Wolf enrolled in Medicare?

Yes. Nicole Wolf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Wolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wolf reassigns Medicare benefits to Southwest Behavioral Health Services, Inc (Flagstaff, AZ). The 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 Nicole Wolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Wolf accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Nicole Wolf 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 Nicole Wolf was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.