Jessica Woody, M.A, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C 1300245 Issued in OH

Practice address

3011Kettering Blvd
Suite 311
Moraine, OH 45439

Phone

(937) 424-0210

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Warren County Esc

  • Mental Health Counselor
  • Lebanon, OH
  • NPI 1083215131
  NPD Authorized official
• Warren County Esc

  • Case Manager/Care Coordinator
  • Lebanon, OH
  • NPI 1235968025
  NPD Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1962959098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 VISTA AVE",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771845",
            "telephone_number": "937-681-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011KETTERING BLVD",
            "address_2": "SUITE 311",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "45439",
            "telephone_number": "937-424-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "JESSICA",
        "credential": "M.A, L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C 1300245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad L Wiseman, BS/QHMS
• Lauren Wisenbarger
• Riane D Woodard, BS, QMHS
• Pamela Woods
• Jeffrey Woodson Jr., QMHS-BS
• Ashley Workman, MSW, LSW
• Ashley A Wormley, MS, LPCC
• Lien-Lien Lilly Wu, B.A
• Kimberlee A Wurst, PCC
• Elisabeth Nicole Wynn, BSW, LSW

• Mental Health Counselor in Moraine, OH
• Providers in Moraine, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.