Active NPIIndividual provider

Kelly J Woodside, LCMHC, CRC

Counselor, Mental Health in Lebanon, New Hampshire

NPI Number1962271734
Practice location
2 W Park St Ste 379, Lebanon, NH 03766-1395
Fax
—
Last updated
September 18, 2026

Kelly Jo Woodside is a Counselor, Mental Health based in Lebanon, NH. Kelly Jo Woodside practices in Lebanon, NH and has the professional credentials of LCMHC, CRC. The NPI Number for Kelly Jo Woodside is 1962271734. The current practice location address for Kelly Jo Woodside is 2 W Park St Ste 379, Lebanon, NH 03766-1395 and can be reached out via phone at 802-478-0113.

Provider Profile Details

NPI Number
1962271734
Provider Name
Kelly Jo Woodside
Credential
LCMHC, CRC
Provider Entity Type
Individual
Gender
Female
Address
2 W Park St Ste 379, Lebanon, NH 03766-1395
Phone Number
802-478-0113
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 21, 2023
Last Update Date
September 18, 2026
Certification Date
September 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 W Park St Ste 379
Lebanon, NH 03766-1395
Zip
03766-1395
Phone Number
802-478-0113
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
2122 Lower Pln
Bradford, VT 05033-8936
City
Bradford
State
VT
Zip
05033-8936

License Information

Taxonomy (1)
Rehabilitation Counselor · 225C00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly J Woodside, LCMHC, CRC?

The NPI number of Kelly J Woodside, LCMHC, CRC is 1962271734. It was assigned on December 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Kelly J Woodside, LCMHC, CRC?

Kelly J Woodside, LCMHC, CRC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kelly J Woodside, LCMHC, CRC practice?

The practice location is 2 W Park St Ste 379, Lebanon, NH 03766-1395. The office can be reached at 802-478-0113 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962271734 directly on the NPPES registry website.

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