MRS. MARY KATHLEEN WOODRUFF LMHC
NPI 1285120618
Counselor - Mental Health in Canandaigua, NY

Q: What is Mary Woodruff's NPI number?

The NPI number for Mary Woodruff is 1285120618. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Mary Woodruff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Woodruff was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 09, 2018PECOS Enrolled

163 GIBSON STREET, CANANDAIGUA, NY 14424(585) 315-0580 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Mary Kathleen Woodruff Lmhc NPPES

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

MRS. MARY KATHLEEN WOODRUFF LMHC (NPI 1285120618) is an individual mental health provider in Canandaigua, New York, licensed in New York (004356) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285120618

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. MARY KATHLEEN WOODRUFFCredential: LMHC

Location Address163 GIBSON STREETCanandaigua, NY 14424

Mailing Address163 Gibson StCanandaigua, NY 14424-1340 · (585) 315-0580

Phone(585) 315-0580

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 9, 2018

✔ NPI 1285120618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 004356

163 GIBSON STREET, Canandaigua, NY 14424

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Kathleen Woodruff Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759864606

PECOS Enrollment IDI20260310002350

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.

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 Mary Woodruff's NPI number?

The NPI number for Mary Woodruff is 1285120618. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Mary Woodruff located?

Mary Woodruff practices at 163 Gibson Street, Canandaigua, NY 14424. The listed phone number is (585) 315-0580.

What is Mary Woodruff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Woodruff enrolled in Medicare?

Yes. Mary Woodruff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Woodruff was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.