JASON WOODFORD


Address: 2103 E Washington St Ste 3e, Bloomington, IL 61701-4365
Phone: 8154213175

JASON WOODFORD (NPI# 1740669761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740669761
Entity Type Individual
Full Name JASON WOODFORD
Practice Address 2103 E Washington St Ste 3e
Bloomington
IL 61701-4365
Mailing Address 320 S Marion St
Mount Pulaski
IL 62548-1322
Practice Telephone 8154213175
Mailing Telephone 8154213175
Enumeration Date 2015-05-22
Last Update Date 2018-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
180.011531 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1921 N Market St, Monticello, IL 618568144 2177625371

Other Providers JASON WOODFORD

NPI Name Taxonomy Address Enumeration
1912566878 Jason Arturo Woodford Sr. Social Worker 4000 Old Court Rd Ste 206, Pikesville, MD 21208-6415 2019-06-13

Office Location

Street Address 2103 E WASHINGTON ST STE 3E
City BLOOMINGTON
State IL
Zip Code 61701-4365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376930024 Ashley Reynolds Counselor 2103 E Washington St Ste 3e, Bloomington, IL 61701-4365 2015-04-21
1336632132 Lily E Anderson Social Worker 2103 E Washington St Ste 3e, Bloomington, IL 61701-4365 2018-06-07
1639677156 Reynolds Counseling & Associates LLC Counselor 2103 E Washington St Ste 3e, Bloomington, IL 61701-4365 2018-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
Find all providers in zip 61701

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265075162 Angela Emily Brodine Counselor 5301 Hyland Greens Dr Apt 702, Bloomington, MN 55437-3909 2019-10-23
1184280141 Holly Ann Wonders Myers Counselor 209 S Prospect Rd Ste 1, Bloomington, IL 61704-4697 2019-05-15
1326502246 Jacqueline Clare Vermaat Counselor 418 N Main St Fl 1, Bloomington, IL 61701-3916 2019-01-24
1275006215 Cameron Lee Small Counselor 9156 Vincent Ave S, Bloomington, MN 55431 2019-01-02
1891286191 Jefferson Williams Counselor 211 N Veterans Pkwy Ste 1, Bloomington, IL 61704-3568 2018-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1437663275 Counseling Resource Institute LLC Counselor 2422 E Washington St Ste 107, Bloomington, IL 61704-1611 2017-11-30
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1457728206 Faye Freeman-smith Counselor 2416 E Washington St Ste A2, Bloomington, IL 61704-1608 2015-08-27
1902289994 John Leslie Freshour Counselor 616 Iaa Dr, Bloomington, IL 61701-2225 2015-07-08
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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