Korreshia Woods

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCII.161513 Issued in OH

Practice address

819 Buckeye St
Hamilton, OH 45011-3452

Phone

(513) 868-7654

NPI assigned

Oct 12, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1952811382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DAYTON ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113455",
            "telephone_number": "513-868-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BUCKEYE ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113452",
            "telephone_number": "513-868-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KORRESHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.110239",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.161513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Lowell Wood
• Tammy Woodall
• Geraldine L Woodruff
• Brian Woods
• Jason Robert Woods, MS
• Tomeka Woodward
• Tammy L. Woodyard-Powell, PCC
• Kara Wooley, DPT
• Amanda Grace Woosley
• Olivia P Woosley

• Addiction (Substance Use Disorder) Counselor in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.