Alyssa Nicole Woods, MA, LPC, CAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC013196 Issued in PA

Practice address

31 Evergreen Dr
Gouldsboro, PA 18424-8820

Phone

(570) 878-8201

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Nicole Woods Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1649852724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 EVERGREEN DR",
            "city": "GOULDSBORO",
            "state": "PA",
            "postal_code": "184248820",
            "telephone_number": "570-878-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 EVERGREEN DR",
            "city": "GOULDSBORO",
            "state": "PA",
            "postal_code": "184248820",
            "telephone_number": "570-878-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC013196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "WOODS",
            "middle_name": "NICOLE",
            "credential": "MA, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gouldsboro Ambulance Squad Inc
• Keystone Community Resources, Inc.
• Keystone Community Resources, Inc.
• Krystal Koru Lynn-Tolson, LPC
• Barbara Reddien Wagner, PT, DPT, MHA

• Counselor in Gouldsboro, PA
• Providers in Gouldsboro, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.