Individual provider Active NPI

Kaitlynn Woodard

  • Marriage & Family Therapist
  • Mooresville, NC
National Provider Identifier
1215512017
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861
Phone
(704) 534-5997
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861

Mailing address

121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861
Phone (704) 534-5997

Other practice location 1

11940 Carolina Place Pkwy Ste 101
Pineville, NC 28134-7471
Phone (704) 255-5114

Other practice location 2

4500 Woodlark Ln
Charlotte, NC 28211-1906
Phone (704) 776-3324

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford & Associates Counseling, PLLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

121 Rolling Hill Rd
Ste 225
Mooresville, NC 28117
Phone (704) 534-5997

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1215512017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 225",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178861",
            "telephone_number": "704-534-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 225",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178861",
            "telephone_number": "704-534-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11940 Carolina Place Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "NC",
            "postal_code": "281347471",
            "country_code": "US",
            "telephone_number": "704-255-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Woodlark Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111906",
            "country_code": "US",
            "telephone_number": "704-776-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "KAITLYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.