Individual provider Active NPI

Leida A. Woodham, LPC

  • Mental Health Counselor
  • Oswego, IL
National Provider Identifier
1437693736
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011436 Issued in IL
Practice address
PO Box 12
Oswego, IL 60543-0012
Phone
(815) 556-2579
Fax
(630) 593-7579
NPI assigned
Dec 6, 2016
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180011436 IL Primary

Addresses

Primary practice location

PO Box 12
Oswego, IL 60543-0012

Mailing address

PO Box 12
Oswego, IL 60543-0012
Phone (815) 556-2579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodham Counseling and Vocational Services PLLC CurrentSince Nov 18, 2025 Accepting new patients
Affective Counseling Inc Professional CurrentSince Feb 20, 2024 Accepting new patients

Locations

111 Lions Dr
Ste 201
Barrington, IL 60010
Phone (224) 655-2655

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, 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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1437693736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605430012",
            "telephone_number": "815-556-2579",
            "fax_number": "630-593-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605430012",
            "telephone_number": "815-556-2579",
            "fax_number": "630-593-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHAM",
        "first_name": "LEIDA",
        "middle_name": "A.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.