PETER WOLF
NPI 1609536176
Counselor - Professional in Lake Orion, MI

Active since December 27, 2021
835 E CLARKSTON RD, LAKE ORION, MI 48362(248) 495-5624 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Professional

About PETER WOLF

This page provides the complete NPI Profile along with additional information for Peter Wolf, a provider established in Lake Orion, Michigan with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1609536176 assigned on December 2021. The practitioner's primary taxonomy code is 101YP2500X with license number 6401000080 (). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1609536176 Verify this NPI
Provider Name
PETER WOLF
Gender
Male
Entity Type
Individual
Location Address
835 E CLARKSTON RD LAKE ORION, MI 48362
Location Phone
(248) 495-5624
Mailing Address
835 E CLARKSTON RD LAKE ORION, MI 48362
Mailing Phone
(248) 628-1289
Is Sole Proprietor?
Yes
Enumeration Date
12-27-2021
Last Update Date
12-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
6401000080

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

64010000080 (MI)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609536176, enumerated as an "individual" on December 27, 2021.

The provider is located at 835 E CLARKSTON RD LAKE ORION, MI 48362 and the phone number is (248) 495-5624.

Counselor with taxonomy code 101YP2500X and a focus in Professional.