Jonathan Daniel Woodbury, LCAS,LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCA-A13656 Issued in NC

Practice address

1451 S Elm Eugene St Ste 2009
Greensboro, NC 27406

Phone

(336) 457-2748

Fax

(336) 464-2544

NPI assigned

Sep 9, 2013

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Oil Group

  • Professional Counselor
  • Greensboro, NC
  • NPI 1699266445

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1043645039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST STE 2009",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "336-457-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST STE 2009",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27406",
            "telephone_number": "336-457-2748",
            "fax_number": "336-464-2544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Nc Highway 65",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273208882",
            "country_code": "US",
            "telephone_number": "336-342-8316",
            "fax_number": "336-342-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "credential": "LCAS,LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20411",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPCA-A13656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lyn Wood, M.D.
• Stephanie Kay Wood, M.S., CRC., LPCA
• Courtney Craft Woodall, CRNA
• Melanie Noe Woodard, LPC, NCC
• Martha Hartman Woodburn, PT
• Joanna Chesson Woodcock, MA,CCC-SLP
• Heidi Dale Woodgeard, LCAS, LCSWA
• Woodland Place Management, Inc (Woodland Place - Greensboro)
• Lee Ann Townsend Woodley, PA-C
• Kristen Woodliff

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.