Kimberly Zoe Woodrich, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

205 SE Jackson St
Roseburg, OR 97470-3341

Phone

(541) 464-6664

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1578175451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700368",
            "telephone_number": "541-464-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE JACKSON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703341",
            "telephone_number": "541-464-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRICH",
        "first_name": "KIMBERLY",
        "middle_name": "ZOE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366697690",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Wood
• Maddison Wood, CHW
• Souichi Wood, PHARMD
• Tyler Duane Wood
• Layken Nicole Woodard
• Scott E Woodruff, O.D.
• Mary Anne Worthington, MS
• Jeanne Lee Wright
• Kayla Wright
• Megan Wright, RN

• Mental Health Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.