Elizabeth Woodford

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC006726 Issued in PA

Practice address

11011 King St Ste 110
Overland Park, KS 66210-1230

Phone

(657) 346-6319

Fax

(951) 269-4184

NPI assigned

Jun 1, 2010

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

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

• Penndel Mental Health Center

  • Community/Behavioral Health Agency
  • Penndel, PA
  • NPI 1023288891
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1073833018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 EVERNIA ST APT 439",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015459",
            "telephone_number": "215-285-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 KING ST STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101230",
            "telephone_number": "657-346-6319",
            "fax_number": "951-269-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12008 S Shore Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146396",
            "country_code": "US",
            "telephone_number": "561-279-6871 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC006726",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH22516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mei Ling Karine Wong, MS, RD, LD, CNSC
• Emma Wood, LCMFT
• Grant Wood, LCMFT
• Jaden Vincent Wood
• Amy Christine Wooddell
• Mercedes Woodiel
• Bradley Michael Woodle, DC
• Drew Woodle, DC
• Abby Woods, LPC
• Angela Marie Woods, APRN

• Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.