Autumn Gaea Woods, M.A., AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103679 Issued in CA

Practice address

4620 Hollywood Blvd
Los Angeles, CA 90027-5408

Phone

(818) 245-5413

NPI assigned

Feb 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Autumn Gaea Woods Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1003315698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 PARTRIDGE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392934",
            "telephone_number": "213-399-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275408",
            "telephone_number": "818-245-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "AUTUMN",
        "middle_name": "GAEA",
        "name_prefix": "Ms.",
        "credential": "M.A., AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "WOODS",
            "middle_name": "GAEA",
            "prefix": "MS.",
            "credential": "GAEA WOODS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Destiny Denae Woods-Branch
• Albertnisha Lakenya Woods
• Allison Taylor Woods, MD
• Andre Woods
• Asante Shavon Woods
• Beau Ramsey Woods, DPT
• Braeden Richard Woods, RN
• Charlotte Yvonne Woods
• Clarence Woods Jr., MD
• Denisha Woods

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.