Individual provider Active NPI

Tabitha Monique Woodson, LPC

  • Professional Counselor
  • Ruckersville, VA
National Provider Identifier
1427405356
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006457 Issued in VA
Practice address
8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494
Phone
(434) 990-1744
Fax
(434) 939-9401
NPI assigned
May 20, 2016
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 0701006457 VA Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494

Mailing address

8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494
Phone (434) 990-1744

Other names 1

  • Tabitha Monique Joyner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240503002909 VA Practitioner - Mental Health Counselor 1759727647 Reassigns benefits to 1 organization
Practice locations: Orange, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 E Main St
Orange, VA 22960-1628
Phone (540) 670-1911

11511 Cox Mill Rd
Gordonsville, VA 22942-9042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Works Professional Counseling, PLLC Mental Health CurrentSince Feb 17, 2024 Accepting new patients

Locations

8767 Seminole Trl
Ste 101
Ruckersville, VA 22968
Phone (434) 985-6909

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1427405356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 101",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683494",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 101",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683494",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "TABITHA",
        "middle_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006457",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "JOYNER",
            "middle_name": "MONIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ruckersville, VA

Sources for this page

Verify at the official NPI Registry.