Individual provider Active NPI

Tony Woodard, MA, NCC, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
National Provider Identifier
1346122611
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4545 N Broadway St FL 3
Chicago, IL 60640-5975
Phone
(773) 784-1111
NPI assigned
Jul 25, 2025
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

4545 N Broadway St FL 3
Chicago, IL 60640-5975

Mailing address

4545 N Broadway St FL 3
Chicago, IL 60640-5975
Phone (773) 784-1111

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Methadone Treatment Center,LLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

4545 N Broadway St
Fl 3
Chicago, IL 60640
Phone (773) 784-1111

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.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1346122611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N BROADWAY ST FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405975",
            "telephone_number": "773-784-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N BROADWAY ST FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405975",
            "telephone_number": "773-784-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "TONY",
        "name_prefix": "Mr.",
        "credential": "MA, NCC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.