Michelle Woodward, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-6432 Issued in ID

Practice address

1717 Ontario St
Sandpoint, ID 83864-9329

Phone

(208) 265-6798

NPI assigned

Mar 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 21, 2024 through Mar 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Idaho Children'S Mental Health, PLLC.

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1083773378
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1063953446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13178 W PINE ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647320",
            "telephone_number": "208-304-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838649329",
            "telephone_number": "208-265-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "MICHELLE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Wilson, DDS
• Winona Lee Wilson
• Susanne Wimberley, LMSW
• Shaundi Ann Wolfe-Weaver, LAMFT
• Carla Roxann Wolfrum, LD
• Logan Woolson, PHARMD
• World Is Round PLLC
• Kendall Anne Yake, PHARMD
• Amanda F Yoder, LMT
• Emily Marie York, CPM

• Professional Counselor in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.