Active NPI
Stanley A Woody, LMHC
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1700151404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00005829
- Practice address
- 805 Goethals Dr Ste 1
Richland, WA 99352-3534 - Phone
- (509) 222-0120
- NPI assigned
- Mar 13, 2012
- Last updated
- Mar 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 00005829 | WA | Primary |
Addresses
Primary practice location
805 Goethals Dr Ste 1
Richland, WA 99352-3534
Mailing address
805 Goethals Dr Ste 1
Richland, WA 99352-3534
Phone (509) 222-0120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453802427 | Medicaid | WA | |
| 453802427 | Other | WA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 00005829 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1700151404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 GOETHALS DR STE 1",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523534",
"telephone_number": "509-222-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 GOETHALS DR STE 1",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523534",
"telephone_number": "509-222-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "STANLEY",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00005829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453802427",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "453802427",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.