Desha Ivory-Lynn Woods, 14640-RAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14640-RAC Issued in CA

Practice address

2150 N Victoria Ave
Oxnard, CA 93036-7791

Phone

(805) 382-6296

Fax

(805) 382-9487

NPI assigned

Jul 27, 2021

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healthright 360

  • Substance Abuse Rehabilitation Facility
  • Oxnard, CA
  • NPI 1124285796
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1508539479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JOYCE DR",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413114",
            "telephone_number": "805-205-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N VICTORIA AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930367791",
            "telephone_number": "805-382-6296",
            "fax_number": "805-382-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DESHA",
        "middle_name": "IVORY-LYNN",
        "credential": "14640-RAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14640-RAC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADE",
            "identifier": "RADT-14640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• With Love Dental Hygiene Inc by Aubrie Croteau
• Tyler Kane Wohlner
• Thomas Lee Wolf, O.D.
• Kelvin S Wong, MD
• Patricia Louise Wood, PH.D.
• Megan Anne Wright, LCSW
• Sherry Wright, DPT
• Ju-Sung Wu, M.D.
• Samantha Wu, M.D.
• Thomas Y Wu, M.D.

• Addiction (Substance Use Disorder) Counselor in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.