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MARK WOODWARD MS, LCPC
NPI 1194835959
Counselor - Professional in Chicago, IL

Active since August 30, 2006Opted out of Medicare · through Jan 1, 2028
77 E. WASHINGTON ST., SUITE 1925, CHICAGO, IL 60602(312) 343-2424(773) 944-0233 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Woodward Ms, Lcpc NPPES

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

MARK WOODWARD MS, LCPC (NPI 1194835959) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180-002973) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1194835959
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK WOODWARDCredential: MS, LCPC
Location Address77 E. WASHINGTON ST., SUITE 1925Chicago, IL 60602
Mailing Address5455 N Sheridan Rd, #2211Chicago, IL 60640-1958 · (312) 343-2424
Phone(312) 343-2424
Fax(773) 944-0233
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 31, 2020
✔ NPI 1194835959 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 IL · 180-002973
77 E. WASHINGTON ST., Chicago, IL 60602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Woodward Ms, Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Mark Woodward's NPI number?

The NPI number for Mark Woodward is 1194835959. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Woodward located?

Mark Woodward practices at 77 E. Washington St. Suite 1925, Chicago, IL 60602. The listed phone number is (312) 343-2424.

What is Mark Woodward's specialty?

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

Is Mark Woodward enrolled in Medicare?

No. Mark Woodward has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mark Woodward was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.