Organization Active NPI

Lee a Woods LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Payson, AZ
National Provider Identifier
1881644581
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LCSW0585 Issued in AZ
Legal business name
LEE A WOODS LCSW PC
Practice address
616 S Beeline Hwy Suite 108
Payson, AZ 85541-5380
Phone
(928) 472-8298
Fax
(928) 472-7430
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mr. Lee A. Woods, MSSA
Title
President
Phone
(928) 472-8298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LCSW0585 AZ Primary

Addresses

Primary practice location

616 S Beeline Hwy Suite 108
Payson, AZ 85541-5380

Mailing address

PO Box 2752
Payson, AZ 85547-2752
Phone (928) 472-8298

Other identifiers 1

IdentifierTypeStateIssuer
745440MedicaidAZ

National Provider Directory

National Provider Directory

Locations

616 S Beeline Hwy
Ste 108
Payson, AZ 85541
Phone (928) 472-8298

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1881644581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2752",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855472752",
            "telephone_number": "928-472-8298",
            "fax_number": "928-472-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S BEELINE HWY SUITE 108",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415380",
            "telephone_number": "928-472-8298",
            "fax_number": "928-472-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE A WOODS LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-472-8298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "LCSW0585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745440",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.