Individual provider Active NPI

David Alan Wood, MA LPCC

  • Mental Health Counselor
  • Fridley, MN
National Provider Identifier
1083205108
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02713 Issued in MN
Practice address
7260 University Ave NE Ste 235
Fridley, MN 55432-3141
Phone
(763) 572-2612
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 CC02713 MN Primary

Addresses

Primary practice location

7260 University Ave NE Ste 235
Fridley, MN 55432-3141

Mailing address

7260 University Ave NE Ste 235
Fridley, MN 55432-3141
Phone (763) 572-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250205003302 MN Practitioner - Mental Health Counselor 0648700625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Aria Counseling Assessment and Mediation Centers PLLCGroup PAC ID 0244460251, 3 clinicians

Practice addresses (Care Compare)

7260 University Ave NE
Suite 235
Fridley, MN 55432-3141
Phone (763) 572-2612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC02713MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Counseling Assessment and Mediation Centers PLLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

3249 Hennepin Ave
Minneapolis, MN 55408
Phone (952) 400-7878

7260 University Ave NE
Ste 235
Minneapolis, MN 55432
Phone (763) 572-2605

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1083205108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE STE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323141",
            "telephone_number": "763-572-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE STE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323141",
            "telephone_number": "763-572-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "MA LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.