Cody Woodburn, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701009819 Issued in VA

Practice address

1300 Sunset LN Ste 3120
Culpeper, VA 22701-3398

Phone

(540) 399-9970

NPI assigned

Sep 8, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Examined Life Psychotherapy LLC

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1154029288
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1649884586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 RIVENOAK LN",
            "city": "GOLDVEIN",
            "state": "VA",
            "postal_code": "227201723",
            "telephone_number": "540-903-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET LN STE 3120",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013398",
            "telephone_number": "540-399-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURN",
        "first_name": "CODY",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Williams
• Ostranda L. Williams, M.D.
• Tricia Alexander Wiltshire, PHARMD
• Henry Hunter Wolfe, ATC, LAT
• Seth Robertson Wood, AG-ACNP
• Mary Jane Wooldridge, LCSW
• Mary Sabrina Worthy, MPA, MSW
• Kelsey R Woycik, PA
• Muhammad Yasir, MD
• Prashanthi Yerram, M.D

• Mental Health Counselor in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.