Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kurt Woodward, MSLPC

Individual provider Professional Counselor · NPI 1104714401

Kurt Woodward, MSLPC is a Mental Health Counselor in Weston, Wisconsin. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025

Practice location Address checks out

4601 Camp Phillips Rd
Weston, WI 54476-1572
Phone: (715) 848-5022
Fax: (888) 778-6750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8547226 (WI)

Record details

NPI number1104714401
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLPC
Sole proprietorYes
NPI enumeratedJune 25, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address901 N 6th St, Wausau, WI 54403-4718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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