Active NPI
Brent Christopher Woods, M.A, PLPC
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1467828657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6384
- Practice address
- 3501 Patrick St
Lake Charles, LA 70605-1717 - Phone
- (337) 263-2153
- NPI assigned
- Aug 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6384 | LA | Primary |
Addresses
Primary practice location
3501 Patrick St
Lake Charles, LA 70605-1717
Mailing address
901 S Vienna St
Ruston, LA 71270-5829
Phone (318) 255-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600720479 | Medicaid | LA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6384 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana United Methodist Children & Family Services, Inc | Mental Health | Past | Accepting new patients |
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.
-
- Foster Care Agency
- Ruston, LA
- NPI 1407053937
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1467828657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S VIENNA ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705829",
"telephone_number": "318-255-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 PATRICK ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706051717",
"telephone_number": "337-263-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "BRENT",
"middle_name": "CHRISTOPHER",
"credential": "M.A, PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "6384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600720479",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.