Kimberly Woodhouse, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

14453 SE 29TH St
Suite D
Choctaw, OK 73020

Phone

(405) 741-2844

NPI assigned

Feb 15, 2018

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

Enrolled in OK

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poyner Mental Health ServicesGroup PAC ID 1153779145, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Poyner Mental Health Services

  • Mental Health Counselor
  • Choctaw, OK
  • NPI 1740845361
  Medicare reassignment Care Compare group NPD Authorized official
• Poyner Psychological Services, Inc.

  • Psychologist
  • Choctaw, OK
  • NPI 1457471765
  NPD

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1114427267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14453 SE 29TH ST STE D",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206543",
            "telephone_number": "405-741-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14453 SE 29TH ST",
            "address_2": "SUITE D",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "73020",
            "telephone_number": "405-741-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Willett
• Anthony Bernard Williams
• Audrey Williams, M.S. CCC-SLP
• Lindi Williams
• Mark Aaron Williams
• Jennifer Lynne Wright, OTR/L
• Laura Suzanna Yandricha, CADC
• Rachel Yates
• Whitney Zuspann

• Mental Health Counselor in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.