Individual provider Active NPI

Taunya D Woods, LCPC

  • Professional Counselor
  • Flossmoor, IL
National Provider Identifier
1407166978
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.003370 Issued in IL
Practice address
19624 Governors Hwy Ste 1
Flossmoor, IL 60422-2086
Phone
(708) 701-6098
Fax
(708) 701-6098
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.003370 IL Primary

Addresses

Primary practice location

19624 Governors Hwy Ste 1
Flossmoor, IL 60422-2086

Mailing address

19624 Governors Hwy Ste 1
Flossmoor, IL 60422-2086
Phone (708) 701-6098

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

LicenseStateTypeSpecialty
180.003370ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Healing and Restoring the Inner Self to Mindful Authenticit Professional CurrentSince Jun 6, 2021 Accepting new patients

Locations

19624 Governors Hwy
Ste 1
Flossmoor, IL 60422
Phone (708) 701-6098

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1407166978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19624 GOVERNORS HWY STE 1",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222086",
            "telephone_number": "708-701-6098",
            "fax_number": "708-701-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19624 GOVERNORS HWY STE 1",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222086",
            "telephone_number": "708-701-6098",
            "fax_number": "708-701-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "TAUNYA",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.