MRS. ELISHA ANN WOODYARD LCDC III
NPI 1821586504
Counselor - Mental Health in Xenia, OH

Q: What is Elisha Woodyard's NPI number?

The NPI number for Elisha Woodyard is 1821586504. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Q: What is Elisha Woodyard'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 Elisha Woodyard was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 27, 2018PECOS EnrolledAccepts Medicare Assignment

452 W MARKET ST, XENIA, OH 45385(937) 376-8700(937) 376-8725 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2021, Feb 3, 2021, Apr 27, 2018 (3 updates tracked since 2018).

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About Mrs. Elisha Ann Woodyard Lcdc Iii NPPES

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

MRS. ELISHA ANN WOODYARD LCDC III (NPI 1821586504) is an individual mental health provider in Xenia, Ohio, licensed in Ohio (C2103747) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821586504

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. ELISHA ANN WOODYARDCredential: LCDC III

Location Address452 W MARKET STXenia, OH 45385-2815

Mailing Address452 W Market StXenia, OH 45385-2815 · (937) 376-8700 · Fax (937) 376-8725

Phone(937) 376-8700

Fax(937) 376-8725

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 27, 2018

Last NPPES UpdateOctober 22, 20213 updates tracked since enumeration

NPPES CertifiedOctober 22, 2021

✔ NPI 1821586504 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 OH · C2103747

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCDCIII.161361 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License C2002217-TRNE (OH)

452 W MARKET ST, Xenia, OH 45385

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Secondary Practice Location 1

Location 1732 Beckman StDayton, OH 45410-2165 · Phone (937) 253-1680 ext. 238 · Fax (937) 253-8990

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Elisha Ann Woodyard Lcdc Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103267273

PECOS Enrollment IDI20240508000176

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.

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.

NIKITA TRIMBLE

Counselor (Addiction (Substance Use Disorder))