IMONI MALIKA PATRICE WOODBERRY LPC
NPI 1528765500
Counselor - Mental Health in Petersburg, VA
About Imoni Malika Patrice Woodberry Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMONI MALIKA PATRICE WOODBERRY LPC (NPI 1528765500) is an individual mental health provider in Petersburg, Virginia, licensed in Virginia (0701012201) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Imoni Malika Patrice Woodberry Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Imoni Woodberry's NPI number?
The NPI number for Imoni Woodberry is 1528765500. It was assigned to this individual provider in the NPPES registry on February 10, 2023.
Where is Imoni Woodberry located?
Imoni Woodberry practices at 20 W Bank St, Petersburg, VA 23803. The listed phone number is (804) 862-8000.
What is Imoni Woodberry's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Imoni Woodberry enrolled in Medicare?
Yes. Imoni Woodberry is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Imoni Woodberry was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Imoni Malika Patrice Woodberry, LPC · NPI 1528765500
Mental Health provider in Petersburg, Virginia. Individual provider, active in the CMS NPPES registry since February 10, 2023.
## Identity
- **NPI:** 1528765500 (Entity type: Individual)
- **Enumerated:** February 10, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701012201 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 W BANK ST, Petersburg, VA 23803-3279
- **Phone:** (804) 862-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528765500) · Data from the CMS NPPES public registry.