Active NPI
Amanda T Woolard, MS, CRC, LPC
- Professional Counselor
- Greenville, NC
National Provider Identifier
1205033255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6949
- Practice address
- 2245 Stantonsburg Rd
Ste O
Greenville, NC 27834-2868 - Phone
- (252) 752-0483
- Fax
- (252) 757-3172
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6949 | NC | Primary |
Addresses
Primary practice location
2245 Stantonsburg Rd
Ste O
Greenville, NC 27834-2868
Mailing address
4300 Sapphire CT
Ste 110
Greenville, NC 27834-9019
Phone (252) 830-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103846 | Medicaid | NC |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6949 | NC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1205033255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAPPHIRE CT",
"address_2": "STE 110",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349019",
"telephone_number": "252-830-7540",
"fax_number": "252-752-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"address_2": "STE O",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-752-0483",
"fax_number": "252-757-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLARD",
"first_name": "AMANDA",
"middle_name": "T",
"credential": "MS, CRC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103846",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.