JESSICA WOLF LCPC
NPI 1568973279
Counselor - Professional in Bloomington, IL

Active since October 20, 2017PECOS Enrolled
502 S MORRIS AVE, BLOOMINGTON, IL 61701(309) 820-7616(309) 820-7657 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Wolf Lcpc NPPES

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

JESSICA WOLF LCPC (NPI 1568973279) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (180011245) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568973279
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA WOLFCredential: LCPC
Location Address502 S MORRIS AVEBloomington, IL 61701-4884
Mailing Address128 N Michigan St Apt CEl Paso, IL 61738-1076 · (815) 326-2513
Fax(309) 820-7657
Sole ProprietorNo
Enumeration DateOctober 20, 2017
NPI 1568973279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180011245
502 S MORRIS AVE, Bloomington, IL 61701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Wolf Lcpc 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.

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
502 S MORRIS AVE
BLOOMINGTON, IL 61701
Counselor (Mental Health)
502 S MORRIS AVE
BLOOMINGTON, IL 61701
Counselor
502 S MORRIS AVE
BLOOMINGTON, IL 61701
Social Worker (Clinical)
502 S MORRIS AVE
BLOOMINGTON, IL 61701
Counselor (Mental Health)
502 S MORRIS AVE
BLOOMINGTON, IL 61701
Nurse Practitioner (Family)
502 S MORRIS AVE, SUITE D
BLOOMINGTON, IL 61701
Clinic/Center (Mental Health (Including Community Mental Health Center))
502 S MORRIS AVE
BLOOMINGTON, IL 61701
Counselor (Professional)
502 S MORRIS AVE
BLOOMINGTON, IL 61701

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 Jessica Wolf's NPI number?

The NPI number for Jessica Wolf is 1568973279. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Jessica Wolf located?

Jessica Wolf practices at 502 S Morris Ave, Bloomington, IL 61701. The listed phone number is (309) 820-7616.

What is Jessica Wolf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Wolf enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Wolf was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.