Individual provider Active NPI

Mary Kay Wood, MSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1033297064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
761 Issued in NE
Practice address
315 S 9TH St
Suite 15
Lincoln, NE 68508-2247
Phone
(402) 477-8278
Fax
(402) 477-8284
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 761 NE Primary

Addresses

Primary practice location

315 S 9TH St
Suite 15
Lincoln, NE 68508-2247

Mailing address

315 S 9TH St
Suite 15
Lincoln, NE 68508-2247
Phone (402) 477-8278

Other identifiers 2

IdentifierTypeStateIssuer
5143OtherNEMIDLANDS CHOICE
82152OtherNEBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000190 NE Practitioner - Clinical Social Worker 9537285887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3611 Lowell Ave
Lincoln, NE 68506-4848
Phone (402) 483-1344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Kay Wood, LLC Mental Health CurrentSince Apr 23, 2020 Accepting new patients

Locations

2900 S 70th St
Ste 160
Lincoln, NE 68506
Phone (402) 477-8278

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033297064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S 9TH ST",
            "address_2": "SUITE 15",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082247",
            "telephone_number": "402-477-8278",
            "fax_number": "402-477-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S 9TH ST",
            "address_2": "SUITE 15",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082247",
            "telephone_number": "402-477-8278",
            "fax_number": "402-477-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARY",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "5143",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "82152",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.