1. Home
  2. Directory
  3. Wisconsin
  4. Weston
  5. Counselor
  6. NPI Profile

KURT WOODWARD MS LPC
NPI 1104714401
Counselor - Professional in Weston, WI

Active since June 25, 2025PECOS Enrolled
4601 CAMP PHILLIPS RD, WESTON, WI 54476(715) 848-5022(888) 778-6750 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kurt Woodward Ms Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURT WOODWARD MS LPC (NPI 1104714401) is an individual professional provider in Weston, Wisconsin, licensed in Wisconsin (8547226) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104714401
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKURT WOODWARDCredential: MS LPC
Location Address4601 CAMP PHILLIPS RDWeston, WI 54476-1572
Mailing Address901 N 6th StWausau, WI 54403-4718 · (715) 848-5022 · Fax (888) 778-6750
Phone(715) 848-5022
Fax(888) 778-6750
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1104714401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8547226
4601 CAMP PHILLIPS RD, Weston, WI 54476
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kurt Woodward Ms Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567960800
PECOS Enrollment IDI20250807000678
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE SLADKY LPC-IT
Counselor (Professional)
4601 CAMP PHILLIPS RD
WESTON, WI 54476
Marathon County (715) 848-5022
SKYLIGHT AUTISM CENTER
Behavior Analyst
4601 CAMP PHILLIPS RD
WESTON, WI 54476
Marathon County (715) 571-1566
KAELEE MARIE FREUDIGMANN MSW, LCSW
Social Worker
4601 CAMP PHILLIPS RD
WESTON, WI 54476
Marathon County (715) 848-5022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurt Woodward's NPI number?

The NPI number for Kurt Woodward is 1104714401. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Kurt Woodward located?

Kurt Woodward practices at 4601 Camp Phillips Rd, Weston, WI 54476. The listed phone number is (715) 848-5022.

What is Kurt Woodward's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kurt Woodward enrolled in Medicare?

Yes. Kurt Woodward is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kurt Woodward was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.