Sharon Eleanor Woodhouse, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R097603 Issued in MD

Practice address

13204 Crutchfield Ave
Bowie, MD 20720-3216

Phone

(240) 603-7314

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 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

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Changing Lives Adult and Youth ServicesGroup PAC ID 5395082812, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Changing Lives Adult & Youth Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Temple Hills, MD
  • NPI 1902241250

  DC

  Medicare reassignment Care Compare group NPD
• Phaze Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
  • NPI 1447861174
  Medicare reassignment NPD

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1629828710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13204 CRUTCHFIELD AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203216",
            "telephone_number": "240-603-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13204 CRUTCHFIELD AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203216",
            "telephone_number": "240-603-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "SHARON",
        "middle_name": "ELEANOR",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R097603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WLM Mental Health Counseling
• Emilia Wogu
• Nneka Wogu
• Lisa Wolff, LCPC, NCC
• Women Empowering Life and Liberation, Inc (Well Managed Care)
• Abreona Nate Woods, COTA
• Shelley Dorae Woody, O.D.
• Benise Woponwoh
• Clara Wose, HHA
• Woundworx LLC

• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.