Individual provider Active NPI

Kurt Woodward, MS LPC

  • Professional Counselor
  • Weston, WI
National Provider Identifier
1104714401
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8547226 Issued in WI
Practice address
4601 Camp Phillips Rd
Weston, WI 54476-1572
Phone
(715) 848-5022
Fax
(888) 778-6750
NPI assigned
Jun 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8547226 WI Primary

Addresses

Primary practice location

4601 Camp Phillips Rd
Weston, WI 54476-1572

Mailing address

901 N 6TH St
Wausau, WI 54403-4718
Phone (715) 848-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000678 WI Practitioner - Mental Health Counselor 2567960800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8547226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Centre for Well-Being, Inc CurrentSince Jun 25, 2025 Accepting new patients

Locations

901 N 6th St
Wausau, WI 54403
Phone (715) 848-5022

4601 Camp Phillips Rd
Weston, WI 54476
Phone (715) 571-1566

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.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1104714401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N 6TH ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034718",
            "telephone_number": "715-848-5022",
            "fax_number": "888-778-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAMP PHILLIPS RD",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544761572",
            "telephone_number": "715-848-5022",
            "fax_number": "888-778-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "KURT",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8547226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.