JONATHAN DANIEL WOODBURY (NPI# 1043645039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043645039 |
| Entity Type | Individual |
| Full Name | JONATHAN DANIEL WOODBURY |
| Credential | LCAS,LPCA |
| Practice Address |
1451 S Elm Eugene St Ste 2009 Greensboro NC 27406 |
| Mailing Address |
1451 S Elm Eugene St Ste 2009 Greensboro NC 27406-2200 |
| Practice Telephone | 3364572748 |
| Practice Fax Number | 3364642544 |
| Mailing Telephone | 3364572748 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-20411 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPCA-A13656 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Nc Highway 65, Reidsville, NC 273208882 | 3363428316 | 3363428352 |
| Street Address |
1451 S ELM EUGENE ST STE 2009 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699266445 | The Oil Group | Counselor | 1451 S Elm Eugene St Ste 2009, Greensboro, NC 27406-2200 | 2018-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766134 | Cecilia Gonzalez Barber | Counselor | 5g Oak Branch Dr, Greensboro, NC 27407-2157 | 2020-10-06 |
| 1134739550 | Chekayla Jones | Counselor | 230 Blandwood Ave Apt 2a, Greensboro, NC 27401-2352 | 2020-08-01 |
| 1174131213 | Integrated Healthcare Solutions of Nc LLC | Counselor | 2800 Lawndale Dr Apt 3f, Greensboro, NC 27408-4104 | 2020-07-15 |
| 1780207555 | Gate City Counseling, Pllc | Counselor | 3209 Hobbs Landing Ct, Greensboro, NC 27410-4846 | 2020-05-27 |
| 1043833635 | Bianca Lepri Morris | Counselor | 207 S Westgate Dr Ste K, Greensboro, NC 27407-1655 | 2020-05-18 |
| 1992324180 | Regina R Ratliff | Counselor | 2107 Tealwood Dr, Greensboro, NC 27407-6075 | 2020-04-08 |
| 1730718297 | Darius Sinclair Barthell | Counselor | 3822 N Elm St Unit 101, Greensboro, NC 27455-2596 | 2020-04-06 |
| 1730717448 | Jacqueline Harris | Counselor | 4708 Mallard Creek Dr, Greensboro, NC 27405-2782 | 2020-03-29 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1932734662 | Julie Lynne Bean | Counselor | 5500 Rutledge Dr, Greensboro, NC 27455-1258 | 2020-03-03 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27406 |
Please comment or provide details below to improve the information on JONATHAN DANIEL WOODBURY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.