CHARISSA WOODWARD (NPI# 1790157055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790157055 |
| Entity Type | Individual |
| Full Name | CHARISSA WOODWARD |
| Practice Address |
1200 W Walnut St Suite 1400 Rogers AR 72756-3521 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1200 W WALNUT ST SUITE 1400 |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895687 | Gerald F Tuohy | Anesthesiology | 1200 W Walnut St, Rogers, AR 72756-3546 | 2006-03-22 |
| 1467942441 | Renee Cook | Case Manager/Care Coordinator | 1200 W Walnut St, Rogers, AR 72756-3521 | 2018-05-15 |
| 1649792995 | Brandy Huddleston | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2017-07-07 |
| 1033630645 | Abbey Johnson | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2017-07-05 |
| 1437697729 | Stephanie M Clark | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2017-02-07 |
| 1770031379 | Addison E Shemin | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-09-13 |
| 1629523006 | Darion J Releford | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-08-16 |
| 1609321009 | Kelsey Brodie | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2016-08-16 |
| 1487007860 | Jennifer Canter | Counselor | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-07-20 |
| 1073965505 | Stephanie Partida | Counselor | 1200 W Walnut St, Rogers, AR 72756-3521 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821628652 | Kendra Glasper | Counselor | 5500 W Pinnacle Pointe Dr Ste 204, Rogers, AR 72758-8153 | 2020-01-21 |
| 1912408261 | Annie Martin | Counselor | 1200 W Walnut St Ste B1150, Rogers, AR 72756-3521 | 2018-02-22 |
| 1386166791 | Summit Family Counseling, Inc. | Counselor | 7 Halsted Cir, Rogers, AR 72756-3185 | 2017-07-07 |
| 1063960458 | Jason Lecompte | Counselor | 7 Halsted Cir Ste 111, Rogers, AR 72756-3185 | 2016-09-14 |
| 1780005207 | Alexandra Marie Schultz | Counselor | 21308 John Milless Dr Ste 202, Rogers, MN 55374-4855 | 2013-12-31 |
| 1619231313 | Aaron French | Counselor | 1200 W Walnut, Suite 1400, Rogers, AR 72756-4593 | 2012-06-27 |
| 1164722302 | Ivy Le | Counselor | 1200 W Walnut St Ste 1400, Rogers, AR 72756-3598 | 2010-10-21 |
| 1912226499 | Mallory Leigh Bockelman | Counselor | 101 W Walnut St Ste C, Rogers, AR 72756-6662 | 2010-05-24 |
| 1366645905 | Lee Ann Nimmo | Counselor | 15370 Tulsa Drive, Rogers, AR 74652 | 2007-06-11 |
| 1124243985 | Donna M Sheppard | Counselor | 3852a Carol Place, Rogers, AR 72758 | 2007-04-16 |
| Find all providers in ROGERS | ||||
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| 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.