Active NPI
Mary Elizabeth Wooten, LPC
- Professional Counselor
- Waynesville, NC
National Provider Identifier
1568530996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3518
- Practice address
- 307 Broadview Rd
Waynesville, NC 28786-3466 - Phone
- (828) 631-3973
- Fax
- (828) 631-9280
- NPI assigned
- Dec 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3518 | NC | |
| Professional Counselor | 101YP2500X | 3518 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1267 | NC |
Addresses
Primary practice location
307 Broadview Rd
Waynesville, NC 28786-3466
Mailing address
PO Box 2187
Sylva, NC 28779-2187
Phone (828) 631-3973
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A9679 | Other | NC | MEDCOST |
| 2206813 | Other | NC | CIGNA |
| 1387J | Other | NC | BCBSNC |
| 6102226 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1267 | NC | MD | Mental Health Counselor |
| 3518 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1568530996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2187",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792187",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BROADVIEW RD",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287863466",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3518",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3518",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1267",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A9679",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2206813",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "1387J",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102226",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.