Samuel Harold Woodard
Individual provider Active NPI Mental Health Counselor · Westtown, NY
NPI 1992667679 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1992667679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 123135-01 (NY)
- Practice address
- 6 Quaker Ridge Rd
Westtown, NY 10998-3020 - Phone
- (903) 724-2278
- NPI assigned
- Dec 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123135-01 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 123135-01 | NY | Yes |
Addresses
Primary practice location
6 Quaker Ridge Rd
Westtown, NY 10998-3020
Mailing address
6 Quaker Ridge Rd
Westtown, NY 10998-3020
Phone (903) 724-2278
Other providers in Westtown, NY
All providers in Westtown, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.