Mia Alphonsa Wooldridge, MS, M ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704015686 Issued in VA

Practice address

5461 Niles Rd
North Chesterfield, VA 23234-4917

Phone

(804) 856-0593

NPI assigned

Feb 3, 2025

Last updated

Feb 17, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Focus IncGroup PAC ID 6608125836, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Focus, LLC

  • Case Management Agency
  • Henrico, VA
  • NPI 1942237243
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• Family Focus, LLC

  • Mental Health Counselor
  • Henrico, VA
  • NPI 1164567046
  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1386458214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 NILES RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344917",
            "telephone_number": "804-856-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 NILES RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344917",
            "telephone_number": "804-856-0593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 N Parham Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232944457",
            "country_code": "US",
            "telephone_number": "804-261-2090",
            "fax_number": "804-261-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "MIA",
        "middle_name": "ALPHONSA",
        "credential": "MS, M ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704015686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telisha Woodfin
• Woodruff Residential LLC
• Dominique Woods, ED.D, QMHP
• Jacquelyn Woods
• Jasmine Unique Woods
• Mahogany Desiree Woolfolk, AAS, LMT
• Stephanie Michelle Worrall, DSW, LCSW
• Wound Health of Virginia LLC
• Garrett Michael Wren, MD
• Nancy Wright-Early

• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.