Individual provider Active NPI

Matthew Woodring, CRPA, CASAC-T

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
National Provider Identifier
1023654431
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
35038 Issued in NY
Practice address
1099 Jay Street
Water Tower Park, BLDG J, Suite 202
Rochester, NY 14611
Phone
(585) 865-1550
NPI assigned
Nov 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPA-2229 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 35038 NY Primary

Addresses

Primary practice location

1099 Jay Street
Water Tower Park, BLDG J, Suite 202
Rochester, NY 14611

Mailing address

1099 Jay Street
Water Tower Park, BLDG J, Suite 202
Rochester, NY 14611
Phone (585) 865-1550

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address matthew.woodring@villaofhope.org Direct Villa Of Hope
Direct Messaging Address matthew.woodring@villaofhope.org Direct Villa Of Hope
Direct Messaging Address matthew.woodring@villaofhope.org Direct Villa Of Hope
Direct Messaging Address matthew.woodring@villaofhope.org Direct Villa Of Hope
Direct Messaging Address matthew.woodring@villaofhope.org Direct Villa Of Hope

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

State licenses

LicenseStateTypeSpecialty
35038NYMDAddiction (Substance Use Disorder) Counselor
CRPA-2229NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Villa of Hope CurrentSince May 10, 2016 Accepting new patients

Locations

3300 Dewey Ave
Rochester, NY 14616
Phone (585) 865-1550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1023654431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 JAY STREET",
            "address_2": "WATER TOWER PARK, BLDG J, SUITE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-865-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 JAY STREET",
            "address_2": "WATER TOWER PARK, BLDG J, SUITE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-865-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "MATTHEW",
        "credential": "CRPA, CASAC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-2229",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.woodring@villaofhope.org",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Villa Of Hope",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "3300 Dewey Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146163741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.woodring@villaofhope.org",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Villa Of Hope",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "3300 Dewey Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146163741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.woodring@villaofhope.org",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Villa Of Hope",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "3300 Dewey Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146163741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.woodring@villaofhope.org",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Villa Of Hope",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "3300 Dewey Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146163741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.woodring@villaofhope.org",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Villa Of Hope",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "3300 Dewey Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146163741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.