Individual provider Active NPI

Yvette Woodruff, MA, LPC

  • Counselor
  • Grand Blanc, MI
National Provider Identifier
1366458564
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401004434 Issued in MI
Practice address
8149 Green Valley Drive
Grand Blanc, MI 48439
Phone
(989) 640-4024
Fax
(248) 288-1362
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401004434 MI Primary

Addresses

Primary practice location

8149 Green Valley Drive
Grand Blanc, MI 48439

Mailing address

38 Beechwoode LN
Pontiac, MI 48340
Phone (248) 763-6215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222001360 MI Practitioner - Mental Health Counselor 5193169761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Health Therapy Center LLCGroup PAC ID 2062788706, 16 clinicians

Practice addresses (Care Compare)

2157 University Park Dr
Suite 1
Okemos, MI 48864-5956
Phone (517) 243-9738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401004434MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crux Leadership Coaching, LLC Counselor CurrentSince Jun 23, 2024 Accepting new patients
Better Health Therapy Center LLC CurrentSince Jan 17, 2024 Accepting new patients

Locations

2157 University Park Dr
Ste 1
Okemos, MI 48864
Phone (517) 243-9738

2157 University Park Dr
Okemos, MI 48864
Phone (517) 243-9738

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1366458564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BEECHWOODE LN",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48340",
            "telephone_number": "248-763-6215",
            "fax_number": "586-753-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 GREEN VALLEY DRIVE",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "989-640-4024",
            "fax_number": "248-288-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401004434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.