Active NPI
Rachel Suzanne Wood, LAPC, NCC
- Professional Counselor
- Rincon, GA
National Provider Identifier
1144569930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC003295
- Practice address
- 1009 N Columbia Ave
Rincon, GA 31326-6828 - Phone
- (912) 572-5261
- Fax
- (912) 826-0233
- NPI assigned
- Feb 13, 2013
- Last updated
- Feb 13, 2013
- 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 | APC003295 | GA | Primary |
Addresses
Primary practice location
1009 N Columbia Ave
Rincon, GA 31326-6828
Mailing address
1009 N Columbia Ave
Rincon, GA 31326-6828
Phone (912) 572-5261
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 |
|---|---|---|---|
| APC003295 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Heritage Counseling | Professional | Past | Accepting new patients |
| Heritage Counseling, Inc | Professional | Past | Accepting new patients |
Interoperability endpoints
- rachelwood@tdh.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Professional Counselor
- Rincon, GA
- NPI 1275890642
-
- Professional Counselor
- Rincon, GA
- NPI 1821375593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1144569930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 N COLUMBIA AVE",
"city": "RINCON",
"state": "GA",
"postal_code": "313266828",
"telephone_number": "912-572-5261",
"fax_number": "912-826-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N COLUMBIA AVE",
"city": "RINCON",
"state": "GA",
"postal_code": "313266828",
"telephone_number": "912-572-5261",
"fax_number": "912-826-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "RACHEL",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "LAPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC003295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.