Individual provider Active NPI

Amanda Wood

  • Mental Health Counselor
  • Platteville, WI
National Provider Identifier
1124376934
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
20 S 4TH St
Platteville, WI 53818-3200
Phone
(608) 291-6024
Fax
(608) 291-6024
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 Primary

Addresses

Primary practice location

20 S 4TH St
Platteville, WI 53818-3200

Mailing address

20 S 4TH St
Platteville, WI 53818-3200
Phone (608) 291-6024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240312002795 WI Practitioner - Mental Health Counselor 5092151126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 S 4TH St
Platteville, WI 53818-3200
Phone (608) 291-6024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4012MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Find Your Way Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

20 S 4th St
Platteville, WI 53818
Phone (608) 284-8498

20 S 4th St
Ste C
Platteville, WI 53818
Phone (608) 291-6024

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1124376934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 4TH ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183200",
            "telephone_number": "608-291-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 4TH ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183200",
            "telephone_number": "608-291-6024",
            "fax_number": "608-291-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.