Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Joseph Woodberry, LMHC, CASAC-G, CPP

Individual provider Counselor · NPI 1306166251

Mr. Michael Joseph Woodberry, LMHC, CASAC-G, CPP is a Counselor in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

11103 207th St
Queens Village, NY 11429-1707
Phone: (347) 256-2591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005270 (NY)
Counselor Taxonomy 101Y00000X · Licence 1054 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12650 (NY)

Record details

NPI number1306166251
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , CASAC-G , CPP
Sole proprietorYes
NPI enumeratedJune 2, 2010
Last updated in NPPESOctober 20, 2015

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