Individual provider Active NPI

Matthew Scott Woods, M.S.

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1528364155
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60205583 Issued in WA
Practice address
2102 W Sharp Ave
Spokane, WA 99201-2937
Phone
(509) 991-1124
Fax
(509) 383-8957
NPI assigned
Jan 29, 2011
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 LH60205583 WA Primary

Addresses

Primary practice location

2102 W Sharp Ave
Spokane, WA 99201-2937

Mailing address

2102 W Sharp Ave
Spokane, WA 99201-2937
Phone (509) 991-1124

Other practice location 1

1404 E 11th Ave
Spokane, WA 99202-3502
Phone (509) 744-1117 ext. 220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2024 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60205583WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1528364155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 W SHARP AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012937",
            "telephone_number": "509-991-1124",
            "fax_number": "509-383-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 W SHARP AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012937",
            "telephone_number": "509-991-1124",
            "fax_number": "509-383-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992023502",
            "country_code": "US",
            "telephone_number": "509-744-1117 x220",
            "fax_number": "509-744-3055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-29",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60205583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.