Active NPI
E Marie Woodruff, LCAC LMSW
- Addiction (Substance Use Disorder) Counselor
- Abilene, KS
National Provider Identifier
1609909290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 261QM0801X
- Practice address
- 306 N Cedar St
Abilene, KS 67410-2623 - Phone
- (785) 263-1328
- Fax
- (785) 263-4313
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 261QM0801X | KS | Primary |
Addresses
Primary practice location
306 N Cedar St
Abilene, KS 67410-2623
Mailing address
306 N Cedar St
Abilene, KS 67410-2623
Phone (785) 263-1328
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 |
|---|---|---|---|
| 261QM0801X | KS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 409 Addiction Treatment Inc | Current | Accepting new patients | |
| CKF Addiction Treatment, Inc | Current | Accepting new patients | |
| 409 Addiction Treatment Inc | Past | Accepting new patients |
Locations
409 NW 3rd St
Ste A
Abilene, KS 67410
Phone (785) 571-0482
306 N Cedar St
Abilene, KS 67410
Phone (785) 263-1328
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ckfaddictiontreatment/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Abilene, KS
- NPI 1467268227
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Salina, KS
- NPI 1164499075
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Abilene, KS
- NPI 1750392692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1609909290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 N CEDAR ST",
"city": "ABILENE",
"state": "KS",
"postal_code": "674102623",
"telephone_number": "785-263-1328",
"fax_number": "785-263-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 N CEDAR ST",
"city": "ABILENE",
"state": "KS",
"postal_code": "674102623",
"telephone_number": "785-263-1328",
"fax_number": "785-263-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "E MARIE",
"credential": "LCAC LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "261QM0801X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.