Jerimiah Adam Woods, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81590 Issued in TX

Practice address

214 E Upshaw Ave
Temple, TX 76501-1567

Phone

(254) 654-0005

NPI assigned

Dec 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Temple, TX
  • NPI 1356779706

  Mental Health

  Medicare reassignment NPD
• The Shepherds New Pathways, LLC

  • Professional Counselor
  • Georgetown, TX
  • NPI 1841813003
  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1245827468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E UPSHAW AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765011567",
            "telephone_number": "254-654-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E UPSHAW AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765011567",
            "telephone_number": "254-654-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JERIMIAH",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Larreau Woodland, REGISTERED NURSE
• Ariel Alison Woods, MD
• Bryan T Woods, M.D.
• Cherry Woods
• Erikka Woods, R.D.
• Melody Woods
• Samantha Jane Woods, LCSW
• Renee Marie Woodson, LPC
• Charles Woodward, CRNA
• Monica A Woodward

• Mental Health Counselor in Temple, TX
• Providers in Temple, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.