Individual provider Active NPI

Theresa Ann Woodard, PHD

  • Professional Counselor
  • Richland, MS
National Provider Identifier
1649613795
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1705 Issued in MS
Practice address
141 Township Avenue Doxa Counseling
Ste 303
Richland, MS 39157
Phone
(601) 228-9806
Fax
(601) 207-8588
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1705 MS Primary

Addresses

Primary practice location

141 Township Avenue Doxa Counseling
Ste 303
Richland, MS 39157

Mailing address

229 Southwind Drive
Richland, MS 39218
Phone (601) 317-9021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 26, 2025 through Mar 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Doxa Counseling Services Professional PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1649613795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SOUTHWIND DRIVE",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "39218",
            "telephone_number": "601-317-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TOWNSHIP AVENUE DOXA COUNSELING",
            "address_2": "STE 303",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-228-9806",
            "fax_number": "601-207-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MS

Sources for this page

Verify at the official NPI Registry.