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EDWIN WOOLLY
NPI 1902039480
Counselor in Poteau, OK

Active since August 31, 2009PECOS EnrolledAccepts Medicare Assignment
2210 N BROADWAY ST, BLDG B, POTEAU, OK 74953(918) 649-0300(918) 649-0094 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin Woolly NPPES

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

EDWIN WOOLLY (NPI 1902039480) is an individual counselor in Poteau, Oklahoma and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902039480
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEDWIN WOOLLY
Location Address2210 N BROADWAY ST, BLDG BPoteau, OK 74953-2000
Mailing Address2210 N Broadway St, Bld BPoteau, OK 74953-2000 · (918) 649-0300 · Fax (918) 649-0094
Phone(918) 649-0300
Fax(918) 649-0094
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 31, 2009
Last NPPES UpdateJanuary 14, 2016
✔ NPI 1902039480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2210 N BROADWAY ST, Poteau, OK 74953
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Edwin Woolly 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 ID8628507027
PECOS Enrollment IDI20250130001672
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.

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 Edwin Woolly's NPI number?

The NPI number for Edwin Woolly is 1902039480. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Edwin Woolly located?

Edwin Woolly practices at 2210 N Broadway St Bldg B, Poteau, OK 74953. The listed phone number is (918) 649-0300.

What is Edwin Woolly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Edwin Woolly enrolled in Medicare?

Yes. Edwin Woolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edwin Woolly accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Edwin Woolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwin Woolly was last updated on January 14, 2016. 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.