Individual provider Active NPI

Rebecca Hale Wood

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1033679436
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L10874 Issued in OR
Practice address
80 SE Madison St Ste 242
Portland, OR 97214-4527
Phone
(503) 208-6009
NPI assigned
Mar 21, 2019
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L10874 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21-11-10272 OR

Addresses

Primary practice location

80 SE Madison St Ste 242
Portland, OR 97214-4527

Mailing address

80 SE Madison St Ste 242
Portland, OR 97214-4527
Phone (503) 208-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220222000419 OR Order and Referring Only - Clinical Social Worker 8123412962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1033679436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 242",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "503-208-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 242",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "503-208-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "REBECCA",
        "middle_name": "HALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L10874",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "21-11-10272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.