Active NPI
Mary Woodson, PHD, LCMHC, LCAS
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1013574854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 936 S Olive St Apt 625
Los Angeles, CA 90015-3596 - Phone
- (919) 670-5894
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
936 S Olive St Apt 625
Los Angeles, CA 90015-3596
Mailing address
888 N Alameda St Apt 435
Los Angeles, CA 90012-4254
Phone (919) 412-1629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Community Resources, Incorporated | Past | Accepting new patients | |
| Stepping Stones Community Resources, Incorporated | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Wilson, NC
- NPI 1437419348
Addiction (Substance Use Disorder)
-
dba Stepping Stones Primary Care
- Clinic/Center
- Wilson, NC
- NPI 1639603681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1013574854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 N ALAMEDA ST APT 435",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124254",
"telephone_number": "919-412-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 S OLIVE ST APT 625",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153596",
"telephone_number": "919-670-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHD, LCMHC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.