Individual provider Active NPI

Wanda M Woodward, PHD, LPC-MHSP

  • Mental Health Counselor
  • Cordova, TN
National Provider Identifier
1861707762
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC3711 Issued in TN
Practice address
8000 Centerview Pkwy Ste 201
Cordova, TN 38018-4256
Phone
(615) 320-1155
Fax
(615) 320-1177
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC3711 TN
Mental Health Counselor 101YM0800X LPC3711 TN Primary

Addresses

Primary practice location

8000 Centerview Pkwy Ste 201
Cordova, TN 38018-4256

Mailing address

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 320-1155

Other practice location 1

10710 Old Highway 64
Bolivar, TN 38008-3587
Phone (731) 203-1011

Other practice location 2

3810 Winchester Rd
Memphis, TN 38118-6045
Phone (901) 369-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20231122001446 TN Practitioner - Mental Health Counselor 4183072622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athena Consulting and Psychological Services, PLLCGroup PAC ID 5294719795, 60 clinicians

Practice addresses (Care Compare)

8000 Centerview Pkwy
Suite 201
Cordova, TN 38018-4256
Phone (615) 320-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC3711TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC Professional CurrentSince Jan 10, 2025 Accepting new patients
Mental Health Centers & Clinics of Tennessee Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

10710 Old Highway 64
Bolivar, TN 38008
Phone (731) 658-6113

8000 Centerview Pkwy
Ste 201
Cordova, TN 38018
Phone (877) 641-1155

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone 6153201155 ext. 232

220 Athens Way
Ste 104
Nashville, TN 37228
Phone (615) 380-4725

Organizations & group practices 2

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1861707762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY STE 201",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184256",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Old Highway 64",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380083587",
            "country_code": "US",
            "telephone_number": "731-203-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Winchester Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381186045",
            "country_code": "US",
            "telephone_number": "901-369-1420",
            "fax_number": "901-369-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "WANDA",
        "middle_name": "M",
        "credential": "PHD, LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC3711",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC3711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.