Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487125076 Individual Practitioner Female Practitioner

Jennifer Michelle Fast Wolf

Counselor • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Jennifer Fast Wolf is a registered healthcare professional specializing in Counselor in Gallup, NM. Practice services are available at 111 S SECOND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 S Second St

Gallup, NM 873016219

Telephone 5054090726

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Gallup, NM (2026 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1497210520
NPI 1891217097

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2018

Registered at 111 S SECOND ST, GALLUP, NM 873016219 (Tel: 5054090726)

📍
Updated Business Mailing Address December 08, 2018

Registered at 138 E 960 S APT S102, VERNAL, UT 840783396 (Tel: 4352192656)

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Provider Name / Credentials Updated December 08, 2018

Recorded as JENNIFER FAST WOLF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2018

Counselor

🟢
Initial NPI Registration & Enumeration December 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487125076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2018
Last Update: December 08, 2018
Sole Proprietor: Yes

Mailing Address

138 E 960 S Apt S102

Vernal, UT 840783396

Phone: 4352192656

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.