Individual provider Active NPI

Cassie Woodson

  • Specialist
  • Whitesboro, OK
National Provider Identifier
1730472200
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
34404 River Rd
Whitesboro, OK 74577-1020
Phone
(580) 980-1527
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Professional Counselor 101YP2500X LPC07369 OK

Addresses

Primary practice location

34404 River Rd
Whitesboro, OK 74577-1020

Mailing address

34404 River Rd
Whitesboro, OK 74577-1020
Phone (918) 839-8529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220000394 OK Practitioner - Mental Health Counselor 0648620450 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC07369OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Counseling Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Oct 1, 2025 Accepting new patients

Locations

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

Interoperability endpoints

  • Direct secure messaging: cassiewoodson@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1730472200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34404 RIVER RD",
            "city": "WHITESBORO",
            "state": "OK",
            "postal_code": "745771020",
            "telephone_number": "918-839-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34404 RIVER RD",
            "city": "WHITESBORO",
            "state": "OK",
            "postal_code": "745771020",
            "telephone_number": "580-980-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "CASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC07369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, OK

Sources for this page

Verify at the official NPI Registry.