Individual provider Active NPI

Emily G Woodruff, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1730873258
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11650 Issued in WI
Practice address
6709 Raymond Rd # 28
Madison, WI 53719-3943
Phone
(608) 353-2652
Fax
(608) 353-2653
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11650 WI Primary

Addresses

Primary practice location

6709 Raymond Rd # 28
Madison, WI 53719-3943

Mailing address

6709 Raymond Rd # 28
Madison, WI 53719-3943
Phone (608) 353-2652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250320003931 WI Practitioner - Mental Health Counselor 0143742908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1789

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11650WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Mar 13, 2025 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Mar 13, 2025 Accepting new patients
Blossoming Wellness, LLC Mental Health Past Accepting new patients

Locations

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005

1001 Fourier Dr
Ste 200
Madison, WI 53717
Phone (608) 740-2001

Organizations & group practices 4

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1730873258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 RAYMOND RD # 28",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193943",
            "telephone_number": "608-353-2652",
            "fax_number": "608-353-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 RAYMOND RD # 28",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193943",
            "telephone_number": "608-353-2652",
            "fax_number": "608-353-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "EMILY",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.