Active NPI
Woodly Augustin, MS
- Counselor
- Dickson City, PA
National Provider Identifier
1326790528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 851 Commerce Blvd
Dickson City, PA 18519-1759 - Phone
- (570) 489-5561
- NPI assigned
- Jan 19, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
851 Commerce Blvd
Dickson City, PA 18519-1759
Mailing address
138 E Merritt St
Wilkes Barre, PA 18705-2038
Phone (347) 207-9116
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Scranton, PA
- NPI 1386628691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1326790528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 E MERRITT ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187052038",
"telephone_number": "347-207-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 COMMERCE BLVD",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "185191759",
"telephone_number": "570-489-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTIN",
"first_name": "WOODLY",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickson City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.