Jennifer Ross Woodson, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10762 Issued in NC

Practice address

8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-2026

Phone

(919) 372-3690

NPI assigned

Feb 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mona R Gupta DO IncorporatedGroup PAC ID 8628386174, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.woodson.1@30520.direct.athenahealth.com

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.

• Mona R Gupta, DO Incorporated

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1205134731
  Medicare reassignment Care Compare group NPD
• Nellie Health PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1194595512
  Medicare reassignment NPD
• Mona R Gupta, DO Incorporated

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raleigh, NC
  • NPI 1225414352
  NPD (past)

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1245620061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 TRAWICK RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 ARCO CORPORATE DR STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172026",
            "telephone_number": "919-372-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Trawick Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276043897",
            "country_code": "US",
            "telephone_number": "919-896-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "JENNIFER",
        "middle_name": "ROSS",
        "name_prefix": "Miss",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10762",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A10762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Woods, RD, LDN
• Morgan Woods
• Seraiah Zeman-Gabrielle Woods, BEHAVIOR TECHNICIAN
• Stephen Edward Woods, MDIV, LPC, LCAS
• Angeline Martin Woodson, LPC,NCC
• Ladonn Woodson, MSW, LCSWA
• Carinne Frances Woodworth, PA-C
• Ashley Elizabeth Woolard, MSW, LCSW
• Carly Woolard, MSW, LCSW-A
• Larissa Woolard

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.