Individual provider Active NPI

Alexandria Rae Woodrow, B.A. PSYCHOLOGY

  • Addiction (Substance Use Disorder) Counselor
  • Medford, OR
National Provider Identifier
1194191312
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
777 Murphy Rd
Medford, OR 97504-8425
Phone
(541) 772-2763
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

777 Murphy Rd
Medford, OR 97504-8425

Mailing address

777 Murphy Rd
Medford, OR 97504-8425
Phone (541) 772-2763

Other practice location 1

510 W. 11th Street
Family Solutions
Medford, OR 97501
Phone (541) 776-0497 ext. 203

Other identifiers 1

IdentifierTypeStateIssuer
1194191312MedicaidOR

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1194191312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048425",
            "telephone_number": "541-772-2763",
            "fax_number": "541-734-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048425",
            "telephone_number": "541-772-2763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W. 11th Street",
            "address_2": "Family Solutions",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "97501",
            "country_code": "US",
            "telephone_number": "541-776-0497 x203",
            "fax_number": "541-282-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODROW",
        "first_name": "ALEXANDRIA",
        "middle_name": "RAE",
        "credential": "B.A. PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194191312",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.