Active NPI
Woodland Centers Inc
- Community/Behavioral Health Agency
- Gallipolis, OH
National Provider Identifier
1508838582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WOODLAND CENTERS INC
- Practice address
- 3086 State Route 160
Gallipolis, OH 45631-8409 - Phone
- (740) 446-5500
- Fax
- (740) 441-4402
- NPI assigned
- Feb 3, 2006
- Last updated
- Mar 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Tener
- Title
- Executive Director
- Phone
- (740) 446-5500
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
3086 State Route 160
Gallipolis, OH 45631-8409
Mailing address
3086 State Route 160
Gallipolis, OH 45631-8409
Phone (740) 446-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253701 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3086 State Route 160
#0
Gallipolis, OH 45631
Phone (740) 446-5500
1 Acy Ave
Jackson, OH 45640
Phone (704) 286-5075
1 Acy Ave
Ste B
Jackson, OH 45640
Phone (740) 286-5075
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Jackson, OH
- NPI 1669439824
-
- Clinical Social Worker
- Jackson, OH
- NPI 1093771560
-
- Internal Medicine Physician
- Mount Vernon, OH
- NPI 1003838087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1508838582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3086 STATE ROUTE 160",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318409",
"telephone_number": "740-446-5500",
"fax_number": "740-441-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3086 STATE ROUTE 160",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318409",
"telephone_number": "740-446-5500",
"fax_number": "740-441-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAND CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-03",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "TENER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "740-446-5500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0253701",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.