Tom Woodward LPC Counselor LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

717 Issued in AK

Legal business name

TOM WOODWARD LPC COUNSELOR LLC

Practice address

238 Crest Dr
Soldotna, AK 99669-7425

Phone

(907) 252-1839

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas G Woodward, LPC

Title

Owner/Operator

Phone

(907) 252-1839

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1689080947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35555 KENAI SPUR HWY",
            "address_2": "PMB 378",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697625",
            "telephone_number": "907-252-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CREST DR",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697425",
            "telephone_number": "907-252-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM WOODWARD LPC COUNSELOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "907-252-1839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "717",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.