Tyler G Woody, LICENSED PROFESSIONA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.00178104 Issued in CO

Practice address

2627 Redwing Rd
Suite 120
Fort Collins, CO 80526

Phone

(970) 658-1007

Fax

(855) 670-0384

NPI assigned

Aug 19, 2015

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

• Amanda C Hayes Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affirm Counseling Inc

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1750061289
  Medicare reassignment NPD Authorized official
• Affirm Counseling Inc

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1306602727
  NPD Authorized official
• Affirm Counseling Inc

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1225969579
  NPD (past) Authorized official
• Affirm Counseling Inc

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1326979675
  NPD (past) Authorized official
• Affirm Counseling Inc

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1396694428

  Professional

  NPD (past) Authorized official
• Woody Counseling PLLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1215850557
  NPD (past) Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1013383561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-658-1007",
            "fax_number": "855-670-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-658-1007",
            "fax_number": "855-670-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "TYLER",
        "middle_name": "G",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.00178104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAYES",
            "middle_name": "C",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Woods, LPN
• Dennis James Woods, RPH
• Woodswalk Counseling, LLC
• Woody Counseling PLLC
• Cathryn A Wilson Woody, P.T.
• Britany Wookey
• Courtney Brooke Woolsey
• Kelsey R Worfler, LCSW, LAC
• Amanda Nichole Workman, BS
• Cheryl Workman

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.