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ALICIA DANIELLE WOODRUM
NPI 1174947063
Counselor - Professional in Muskogee, OK

Active since February 12, 2014PECOS Enrolled
315 N 4TH ST, MUSKOGEE, OK 74401(918) 537-2007 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alicia Danielle Woodrum NPPES

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

ALICIA DANIELLE WOODRUM (NPI 1174947063) is an individual professional provider in Muskogee, Oklahoma, licensed in Oklahoma (6733) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tahlequah, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174947063
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALICIA DANIELLE WOODRUM
Location Address315 N 4TH STMuskogee, OK 74401-6312
Mailing Address119 N G StMuskogee, OK 74403-5155 · (918) 457-9702
Phone(918) 537-2007
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 12, 2014
Last NPPES UpdateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
✔ NPI 1174947063 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 OK · 6733
315 N 4TH ST, Muskogee, OK 74401
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Secondary Practice Location 1

Location 118092 S Phoenix AveTahlequah, OK 74464-1011 · Phone (918) 457-9702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Danielle Woodrum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517462732
PECOS Enrollment IDI20250926002142
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 2

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

RESTORATION BEHAVIORAL HEALTH OF MUSKOGEE, LLC
Counselor (Mental Health)
315 N 4TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 360-5030
HEATHER B COLEMAN
Counselor
315 N 4TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-8407

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 Alicia Woodrum's NPI number?

The NPI number for Alicia Woodrum is 1174947063. It was assigned to this individual provider in the NPPES registry on February 12, 2014.

Where is Alicia Woodrum located?

Alicia Woodrum practices at 315 N 4th St, Muskogee, OK 74401. The listed phone number is (918) 537-2007.

What is Alicia Woodrum's specialty?

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

Is Alicia Woodrum enrolled in Medicare?

Yes. Alicia Woodrum is registered in the Medicare PECOS enrollment system.

What insurance does Alicia Woodrum accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Alicia Woodrum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Woodrum was last updated on July 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.