Active NPI
Kimberly Rae Wood, LPC
- Professional Counselor
- Nampa, ID
National Provider Identifier
1043143951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2581013
- Practice address
- 220 10TH Ave S
Nampa, ID 83651-3832 - Phone
- (208) 468-0850
- NPI assigned
- Jun 8, 2026
- Last updated
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2581013 | ID | Primary |
Addresses
Primary practice location
220 10TH Ave S
Nampa, ID 83651-3832
Mailing address
220 10TH Ave S
Nampa, ID 83651-3832
Phone (208) 468-0850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2581013 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1043143951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 10TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513832",
"telephone_number": "208-468-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 10TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513832",
"telephone_number": "208-468-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "KIMBERLY",
"middle_name": "RAE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "2581013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.