Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY JO WOODSIDE LCMHC, CRC
NPI 1962271734
Counselor - Mental Health in Lebanon, NH

Active since December 21, 2023
2 W PARK ST STE 379, LEBANON, NH 03766(802) 478-0113 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kelly Jo Woodside Lcmhc, Crc NPPES

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

KELLY JO WOODSIDE LCMHC, CRC (NPI 1962271734) is an individual mental health provider in Lebanon, New Hampshire and active in the NPI registry since December 2023. She maintains a secondary practice location in Bradford.

NPPES Registry Identity

NPI1962271734
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JO WOODSIDECredential: LCMHC, CRC
Location Address2 W PARK ST STE 379Lebanon, NH 03766-1395
Mailing Address2122 Lower PlnBradford, VT 05033-8936
Sole ProprietorNo
Enumeration DateDecember 21, 2023
Last NPPES UpdateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
NPI 1962271734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
2 W PARK ST STE 379, Lebanon, NH 03766

Secondary Practice Location 1

Location 12122 Lower PlnBradford, VT 05033-8936 · Phone (802) 222-8028

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2 W PARK ST STE 379
LEBANON, NH 03766

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 Kelly Woodside's NPI number?

The NPI number for Kelly Woodside is 1962271734. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Kelly Woodside located?

Kelly Woodside practices at 2 W Park St Ste 379, Lebanon, NH 03766. The listed phone number is (802) 478-0113.

What is Kelly Woodside'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 Kelly Woodside was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.