MRS. MARY KATHLEEN WOODRUFF LMHC
NPI 1285120618
Counselor - Mental Health in Canandaigua, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary Kathleen Woodruff Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Woodruff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Mary Woodruff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Woodruff reassigns Medicare benefits to Helio Health, Inc. (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Woodruff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mrs. Mary Kathleen Woodruff, LMHC · NPI 1285120618
Mental Health provider in Canandaigua, New York. Individual provider, active in the CMS NPPES registry since July 9, 2018.
## Identity
- **NPI:** 1285120618 (Entity type: Individual)
- **Enumerated:** July 9, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 004356 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 163 GIBSON STREET, Canandaigua, NY 14424
- **Phone:** (585) 315-0580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Helio Health, Inc. (NPI 1609892280, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1285120618) · Data from the CMS NPPES public registry.