Kelly Thorne Woods, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007632 Issued in VA

Practice address

4542 Bonney Rd Ste B
Virginia Beach, VA 23462-3867

Phone

(757) 640-1882

Fax

(757) 640-0253

NPI assigned

Sep 27, 2018

Sex

Female

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

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Arena Therapy PLLCGroup PAC ID 6103367511, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• East Arena Therapy, PLLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1427794429
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1740765551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 BONNEY RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623867",
            "telephone_number": "757-640-1882",
            "fax_number": "757-640-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 BONNEY RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623867",
            "telephone_number": "757-640-1882",
            "fax_number": "757-640-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KELLY",
        "middle_name": "THORNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee A Woodford, MD
• Shameka Woodley
• Krista Woodlock, DDS
• David Wayne Woods, MD
• Heather Woods
• Ellynne Laurice Woodson
• Jasmine Woodson
• Shawntel Woodson
• Eliza Woodward, PT, DPT
• Alicia Woodworth, LPC, NCC, BC-TMH

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.