Active NPI
Paul Woolery, MA ABS
- Mental Health Counselor
- Hood River, OR
National Provider Identifier
1306079629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 104 5TH St
Hood River, OR 97031-2058 - Phone
- (541) 386-1650
- NPI assigned
- Sep 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
104 5TH St
Hood River, OR 97031-2058
Mailing address
PO Box 1299
Hood River, OR 97031-0088
Phone (541) 386-1650
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1306079629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1299",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970310088",
"telephone_number": "541-386-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 5TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970312058",
"telephone_number": "541-386-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLERY",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "MA ABS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-03",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.