JACOB ALLEN WOLFZORN (NPI# 1679108898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679108898 |
| Entity Type | Individual |
| Full Name | JACOB ALLEN WOLFZORN |
| Credential | LLPC |
| Practice Address |
801 Hazen St Ste C Paw Paw MI 49079-2008 |
| Mailing Address |
Po Box 249 Paw Paw MI 49079-0249 |
| Practice Telephone | 2696575574 |
| Mailing Telephone | 2696575574 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401017111 | MI | Behavioral Health & Social Service Providers |
| Street Address |
801 HAZEN ST STE C |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982937199 | Eliezer Joseph | Counselor | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2009-09-08 |
| 1316578966 | Blaire Leeanne Phillips | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2020-02-03 |
| 1881234888 | Stephanie Williams | Counselor | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2020-01-08 |
| 1366081036 | Samantha Clark | Case Manager/Care Coordinator | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2019-12-30 |
| 1043786700 | Cindy Newberry | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2018-10-22 |
| 1902309602 | Pamela Baney | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2018-03-09 |
| 1336641422 | Michelle Olsen | Registered Nurse | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2018-03-05 |
| 1376058792 | Taylor Foco | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2017-12-07 |
| 1508371006 | Elizabeth Courtney | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2017-12-06 |
| 1942715677 | Lloyd Bloomer | Social Worker | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2017-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821449257 | Christy Lynn Southerland | Counselor | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079-1432 | 2016-06-27 |
| 1881234888 | Stephanie Williams | Counselor | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2020-01-08 |
| 1245625920 | Andrina Jordan | Counselor | 801 Hazen St, Paw Paw, MI 49079-2008 | 2015-03-31 |
| 1962846014 | Wendy Dykstra | Counselor | 801 Hazen St, Ste C, Paw Paw, MI 49079-2008 | 2013-04-19 |
| 1346526779 | Aaron Bronsink | Counselor | 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079-1432 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
| 1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
| 1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.