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MR. MICHAEL JOSEPH WOODBERRY LMHC, CASAC-G, CPP
NPI 1306166251
Counselor - Mental Health in Queens Village, NY

Active since June 02, 2010
11103 207TH ST, QUEENS VILLAGE, NY 11429(347) 256-2591 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Joseph Woodberry Lmhc, Casac-g, Cpp NPPES

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

MR. MICHAEL JOSEPH WOODBERRY LMHC, CASAC-G, CPP (NPI 1306166251) is an individual mental health provider in Queens Village, New York, licensed in New York (005270) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1306166251
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL JOSEPH WOODBERRYCredential: LMHC, CASAC-G, CPP
Location Address11103 207TH STQueens Village, NY 11429-1707
Mailing Address11103 207th StQueens Village, NY 11429-1707 · (347) 256-2591
Phone(347) 256-2591
Sole ProprietorYes
Enumeration DateJune 2, 2010
Last NPPES UpdateOctober 20, 2015
✔ NPI 1306166251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 005270
Also ListedCounselorTaxonomy 101Y00000X · License 1054 (NY)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12650 (NY)
11103 207TH ST, Queens Village, NY 11429
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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 Michael Woodberry's NPI number?

The NPI number for Michael Woodberry is 1306166251. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Michael Woodberry located?

Michael Woodberry practices at 11103 207th St, Queens Village, NY 11429. The listed phone number is (347) 256-2591.

What is Michael Woodberry's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Woodberry was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.