Adele Germaine Woodruff, MHA, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

S.0008923 Issued in OH

Practice address

60 Lawrence Ave
Miamisburg, OH 45342-3549

Phone

(866) 975-7469

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Star Pathways

  • Substance Abuse Rehabilitation Facility
  • Beavercreek, OH
  • NPI 1811541105
  NPD
• Star Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beavercreek, OH
  • NPI 1073016440
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1306486790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LAWRENCE AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LAWRENCE AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423549",
            "telephone_number": "866-975-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ADELE",
        "middle_name": "GERMAINE",
        "name_prefix": "Ms.",
        "credential": "MHA, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "S.0008923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Star-Pathways.com",
            "affiliation": "N",
            "endpointDescription": "Web page",
            "address_1": "60 Lawrence Ave",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phillip Witcher, MD
• With Much Grace Inc
• Chris E Wittmer, RD,LD, CDE
• Kaitlyn Brooke Wolfe, LPCC, LICDC
• Tiffany Wood, DO
• Kamal Ronald Woods, M.D.
• Woodstream Wellness
• Taera Works, BA, QMHS
• Danielle Worland
• Krystal Wright, LPN

• Counselor in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.