Alicia Danielle Woodrum

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6733 Issued in OK

Practice address

315 N 4TH St
Muskogee, OK 74401-6312

Phone

(918) 537-2007

NPI assigned

Feb 12, 2014

Sex

Female

Sole proprietor

Yes

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, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Green Country Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muskogee, OK
  • NPI 1336203132

  Single Specialty

  Medicare reassignment NPD
• Restoration Behavioral Health of Muskogee, LLC

  • Mental Health Counselor
  • Muskogee, OK
  • NPI 1255927182

  Single Specialty

  NPD

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1174947063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N G ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035155",
            "telephone_number": "918-457-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 4TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016312",
            "telephone_number": "918-537-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18092 S Phoenix Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744641011",
            "country_code": "US",
            "telephone_number": "918-457-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUM",
        "first_name": "ALICIA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Wong-Sick-Hong, M.D.
• Darla Kay Wood
• Hillary Wood
• Jackson Emory Wood, DO
• Marcia Elaine Woodard, AU.D.
• Tammy Lynn Woods
• Ashley Nacole Woodworth
• Lisa Gay Woodworth, APRN
• Katherine Marie Worley, PT, DPT
• Anita Marie Wright, LMT

• Professional Counselor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.