Burnham Woods Counseling North Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

20041772A Issued in IN

Legal business name

BURNHAM WOODS COUNSELING NORTH INC

Practice address

1977 Highway 250
Rising Sun, IN 47040-9550

Phone

(812) 594-2868

Fax

(812) 594-2868

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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

Dr. Medea Laurel Woods, PSY.D.

Title

President

Phone

(812) 594-2868

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760537757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4484",
            "fax_number": "321-690-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 HIGHWAY 250",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470409550",
            "telephone_number": "812-594-2868",
            "fax_number": "812-594-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNHAM WOODS COUNSELING NORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MEDEA",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-594-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "20041772A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candie Ackman
• Advanced Mobility Solutions
• Back to Health Chiropractic of Rising Sun, PC
• Alyson Marie Barnes
• Ashley Bowne
• Andrew D Clark, DPT
• Suzanne Marie Craig, APRN
• Jamie Lynn Elliott, P.T.A.
• Melissa Ann Hall, DPT
• Andrea Halloran, PTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rising Sun, IN
• Providers in Rising Sun, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.