Active NPI
Matthew Woodring, CRPA, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- Rochester, NY
National Provider Identifier
1023654431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 35038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35038 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| CRPA-2229 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa of Hope | Current | 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.
-
- Voluntary or Charitable Agency
- Rochester, NY
- NPI 1578640298
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.