Active NPI
Jaclyn Kay Woods, LMFT
- Marriage & Family Therapist
- Kirksville, MO
National Provider Identifier
1114545829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2020010198
- Practice address
- 900 E Laharpe St
Kirksville, MO 63501-4520 - Phone
- (660) 626-0698
- NPI assigned
- Jul 9, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2020010198 | MO | Primary |
Addresses
Primary practice location
900 E Laharpe St
Kirksville, MO 63501-4520
Mailing address
PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214
Other names 1
- Jaclyn Kay Berning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231226000524 | MO | Practitioner - Marriage and Family Therapist | 3971953464 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Family Healthcare Inc
Practice addresses (Care Compare)
900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Family Healthcare, Inc. | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc | Current | Accepting new patients |
Locations
900 E Laharpe St
Kirksville, MO 63501
1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Kirksville, MO
- NPI 1649474206
MO
-
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1114545829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844715",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641844715",
"telephone_number": "417-761-5214",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E LAHARPE ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014520",
"telephone_number": "660-626-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JACLYN",
"middle_name": "KAY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2020010198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "BERNING",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.