Individual provider Active NPI

Laurie Woodard

  • Addiction (Substance Use Disorder) Counselor
  • Centennial, CO
National Provider Identifier
1235761834
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0016978 Issued in CO
Practice address
6505 S Paris St
Centennial, CO 80111-6503
Phone
(720) 450-9760
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0016978 CO Primary

Addresses

Primary practice location

6505 S Paris St
Centennial, CO 80111-6503

Mailing address

6505 S Paris St
Centennial, CO 80111-6503
Phone (720) 450-9760

Other identifiers 1

IdentifierTypeStateIssuer
82-3588594OtherBEHAVIORAL HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://footprints.kipuworks.com/users/sign_in Direct Kipuka Counseling and Consulting, LLC

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

State licenses

LicenseStateTypeSpecialty
0016978COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1235761834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 S PARIS ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116503",
            "telephone_number": "720-450-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 S PARIS ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116503",
            "telephone_number": "720-450-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "LAURIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0016978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "82-3588594",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://footprints.kipuworks.com/users/sign_in",
            "affiliation": "Y",
            "affiliationName": "Kipuka Counseling and Consulting, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Records",
            "address_1": "6505 S Paris St",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801116503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.