Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Scott Wolter, MSNCCLPC

Individual provider Mental Health Counselor · NPI 1437906336

Corey Scott Wolter, MSNCCLPC is a Mental Health Counselor in Glendale, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2024

Practice location Address checks out

20165 N 67th Ave Ste 102
Glendale, AZ 85308-7003
Phone: (928) 486-0784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC18455 (AZ)

Record details

NPI number1437906336
Entity typeIndividual (Type 1)
GenderMale
Credentials MSNCCLPC
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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