Individual provider Active NPI

Caitlyn Woodhouse, LPCC

  • Professional Counselor
  • Mountain View, CA
National Provider Identifier
1104372044
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9441 Issued in CA
Practice address
2660 Solace PL Ste D2
Mountain View, CA 94040-4337
Phone
(408) 202-3918
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4241 CA
Professional Counselor 101YP2500X 4241 CA
Professional Counselor 101YP2500X 9441 CA Primary

Addresses

Primary practice location

2660 Solace PL Ste D2
Mountain View, CA 94040-4337

Mailing address

PO Box 2765
Hollister, CA 95024-2765
Phone (408) 202-3918

Other practice location 1

6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371
Phone (408) 202-3918

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
4241CAMDMental Health Counselor
9441CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1104372044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2765",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950242765",
            "telephone_number": "408-202-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SOLACE PL STE D2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404337",
            "telephone_number": "408-202-3918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6203 San Ignacio Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191371",
            "country_code": "US",
            "telephone_number": "408-202-3918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "CAITLYN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4241",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "4241",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "9441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.