Elizabeth Grace Woodman, MS, MFT-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

828228 Issued in WI

Practice address

W156N8327 Pilgrim Rd
Menomonee Falls, WI 53051-3776

Phone

(262) 251-1112

Fax

(262) 251-1113

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Affinity Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Menomonee Falls, WI
  • NPI 1598562381
  NPD

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1588499099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMAN",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "credential": "MS, MFT-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "828228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Wohlfeil, FNP
• Sune Leif Wolf Pulsiano, MD
• Stacy Lynn Wolf, BSN, RN, CDE
• Tyler Aaron Wolf
• Sung-Kyun Woo, M.D.
• Michael Woyach, LCSW
• Aimee M Wozniak, PT
• Mackenzie Wozniak
• Jessica Elizabeth Wroblewski, R.N.
• Kersten Kay Wuebben, PTA

• Marriage & Family Therapist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.