KURT WOODWARD MS LPC NPI 1104714401

NPI Information

  • NPI: 1104714401
  • Provider Name: KURT WOODWARD, MS LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4601 CAMP PHILLIPS RD
    WESTON, WI
    ZIP 54476
  • Phone: (715) 848-5022

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NPI Details

Kurt Woodward, MS LPC is a professional counselor in Weston, WI with 1 years of experience. Kurt Woodward, MS LPC NPI is 1104714401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4601 CAMP PHILLIPS RD
WESTON, WI
ZIP 54476-572
Phone: (715) 848-5022
Fax: (888) 778-6750

The NPI 1104714401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/25/2025 and was last updated on 6/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional8547226WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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