Active NPI
Asa Woodman, LMFT
- Marriage & Family Therapist
- Gray, ME
National Provider Identifier
1396033510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46670
- Practice address
- 306 Shaker Rd
Gray, ME 04039-9674 - Phone
- (310) 908-8488
- NPI assigned
- Jul 21, 2011
- Last updated
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 46670 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MF4305 | ME |
Addresses
Primary practice location
306 Shaker Rd
Gray, ME 04039-9674
Mailing address
306 Shaker Rd
Gray, ME 04039-9674
Phone (310) 908-8488
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46670 | CA | MD | Marriage & Family Therapist |
| MF4305 | ME | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1396033510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SHAKER RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040399674",
"telephone_number": "310-908-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SHAKER RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040399674",
"telephone_number": "310-908-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODMAN",
"first_name": "ASA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46670",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ME",
"license": "MF4305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.