Samantha Sue Woods, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

435440 Issued in KY

Practice address

286 Cumberland Ave
Barbourville, KY 40906-1204

Phone

(606) 219-4676

NPI assigned

Jan 23, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1245860709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 JACKSON FARISTON RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448334",
            "telephone_number": "606-682-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 CUMBERLAND AVE",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061204",
            "telephone_number": "606-219-4676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S Laurel Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407448304",
            "country_code": "US",
            "telephone_number": "606-682-2916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SAMANTHA",
        "middle_name": "SUE",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "435440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.