Individual provider Active NPI

Carlos Ferand Woodard Sr., LPC

  • Professional Counselor
  • Midwest City, OK
National Provider Identifier
1285832162
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3010 Issued in OK
Practice address
7901 NE 10TH St
C110
Midwest City, OK 73110-3600
Phone
(405) 736-6454
Fax
(405) 736-1507
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3010 OK Primary

Addresses

Primary practice location

7901 NE 10TH St
C110
Midwest City, OK 73110-3600

Mailing address

7901 NE 10TH St
C110
Midwest City, OK 73110-3600
Phone (405) 736-6454

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
3010OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1285832162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST",
            "address_2": "C110",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "405-736-6454",
            "fax_number": "405-736-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST",
            "address_2": "C110",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "405-736-6454",
            "fax_number": "405-736-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "CARLOS",
        "middle_name": "FERAND",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.