William Allen Woodall Jr., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13113 Issued in FL

Practice address

2117 Ainsdale CT
Navarre, FL 32566-4138

Phone

(850) 865-2855

NPI assigned

Oct 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. William Allen Woodall Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1336802925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 AINSDALE CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664138",
            "telephone_number": "850-865-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 AINSDALE CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664138",
            "telephone_number": "850-865-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "WOODALL",
            "middle_name": "ALLEN",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea H Wingett
• Allison Wolbert, MS CCC-SLP
• Ryan D Wolf, RCSWI
• Katy Wolfe
• Mary Ruth Woodall, BCBA
• Aleah Marie Woods
• Wendy Ellen Worden, LMT
• Deneb Wright, APRN
• Chelsea Younger
• Joshua Yu

• Mental Health Counselor in Navarre, FL
• Providers in Navarre, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.