MRS. KIM WOODARD M.A., M.S., LPC
NPI 1629119631
Counselor - Professional in Atlanta, GA
About Mrs. Kim Woodard M.a., M.s., Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIM WOODARD M.A., M.S., LPC (NPI 1629119631) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC 004340) and active in the NPI registry since February 2007. She has opted out of Medicare through January 22, 2028.
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
Opted out of Medicare
Mrs. Kim Woodard M.a., M.s., Lpc 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 22, 2024 through January 22, 2028.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
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 Kim Woodard's NPI number?
The NPI number for Kim Woodard is 1629119631. It was assigned to this individual provider in the NPPES registry on February 11, 2007.
Where is Kim Woodard located?
Kim Woodard practices at 2255 Cumberland Pkwy SE Building 500, Suite 300, Atlanta, GA 30339. The listed phone number is (404) 919-2355.
What is Kim Woodard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kim Woodard enrolled in Medicare?
No. Kim Woodard has opted out of Medicare through January 22, 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 Kim Woodard was last updated on August 22, 2022. 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.
# Mrs. Kim Woodard, M.A., M.S., LPC · NPI 1629119631
Professional provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 11, 2007.
## Identity
- **NPI:** 1629119631 (Entity type: Individual)
- **Enumerated:** February 11, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC 004340 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2255 CUMBERLAND PKWY SE, BUILDING 500, SUITE 300, Atlanta, GA 30339
- **Phone:** (404) 919-2355
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629119631) · Data from the CMS NPPES public registry.