John Woodman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC1397 Issued in ME

Practice address

166 New County Road
Rockland, ME 04841-0703

Phone

(207) 594-8433

Fax

(207) 594-5499

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Turning Tide Inc.

  • Community/Behavioral Health Agency
  • Rockland, ME
  • NPI 1174788236
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1790878700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410703",
            "telephone_number": "207-594-8433",
            "fax_number": "207-594-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 NEW COUNTY ROAD",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410703",
            "telephone_number": "207-594-8433",
            "fax_number": "207-594-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMAN",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC1397",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CCS4523",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322910099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Tobey Williamson, L.AC.
• Travis J Wilson, PHARM.D.
• Andrew F Wisch, PH.D.
• Ian R C Witherby, LCSW
• Woodlands Senior Living of Rockland, LLC (Woodlands Memory Care of Rockland)
• Kristie Worster, LCSW
• Katrina Clare Wozich, CADC
• Judith Yeaton, M.S., O.T./L.
• Michael York, SLP
• James Richard Young, M.D.

• Addiction (Substance Use Disorder) Counselor in Rockland, ME
• Providers in Rockland, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.