Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Rebel Goat Farm,Inc

Clinical Social Worker in Saint Pauls, NC · enumerated 2020 · authorized official Jennifer Wahlman, Director and Co-Founder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649876566

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Registry record

Entity type Organization (Type 2)

Legal business name Rebel Goat Farm,Inc

Practice address 250 Millionaire Rd, Saint Pauls, NC, 28384

Phone (910) 241-3273

Enumeration date Dec 7, 2020

Last updated in NPPES Dec 8, 2020

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

101YP1600X Pastoral Counselor Behavioral Health & Social Service Providers Secondary

103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Jennifer Wahlman

Title Director and Co-Founder

Phone (910) 241-3273

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Rebel Goat Farm,Inc located?

The practice location on file with NPPES is in Saint Pauls, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Dyanna Russell Addiction (Substance Use Disorder) Counselor · Saint Pauls, NC NPI 1194312132

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-08.