Kimberly R Woodard, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP6623 Issued in MD

Practice address

13708 Captain Marbury LN
Upper Marlboro, MD 20772-6118

Phone

(301) 485-9831

NPI assigned

May 15, 2016

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

State licenses

Practice roles

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.

• Waverly Center for Psychotherapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
  • NPI 1700473659
  NPD Authorized official

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1629425186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 CAPTAIN MARBURY LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726118",
            "telephone_number": "301-485-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 CAPTAIN MARBURY LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726118",
            "telephone_number": "301-485-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Winston
• With Love Lactation Care
• Donald W Witter, D.D.S.
• Elaine Hymes Witter, D.D.S.
• Meraf Amde Wolle, MD
• Nadia Janine Woodard
• Tammy Laverne Woodbury-Bellamy, M.S., CCC-SLP
• Tarja Melita Wooden Beckham
• Aysia Woodhouse
• Lauren Jeanine Woodley, CNM

• Professional Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; 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.