Elisa Marie Woodruff, PHD, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015445 Issued in IL

Practice address

1500 E Lincoln Hwy Ste 1
Dekalb, IL 60115-3990

Phone

(779) 220-2670

NPI assigned

Jul 26, 2016

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Solutions: Integrative Healing & Well Being LLC

  dba Life Solutions

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1720462799

  Professional

  NPD
• Lighthouse Professional Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Sycamore, IL
  • NPI 1659720332
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1801349899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-220-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-220-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011636",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Patrick Wohlrabe, MA, CADC
• Jessica Wojdyla, CNA
• Emily Woodard
• Janiqua Woodard
• Sean Lindsay Woodford, ATS
• Becky E Woods
• Sheryl Woolbright, LMT
• Renee Wootton, SLP
• Melissa Ybarra-Robinson, MHP
• Robert Yeagle Jr., B.A.

• Professional Counselor in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.