Organization Active NPI

Toni L. Wood LPC PC

  • Counselor
  • Duncanville, TX
National Provider Identifier
1154516540
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
13074 Issued in TX
Legal business name
TONI L. WOOD LPC PC
Practice address
1106 Santa Fe TRL
Suite #3
Duncanville, TX 75137-3063
Phone
(214) 695-9341
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Toni L. Wood, M.S.
Title
Owner/Ceo
Phone
(214) 695-9341

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 13074 TX Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 13074 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 13074 TX

Addresses

Primary practice location

1106 Santa Fe TRL
Suite #3
Duncanville, TX 75137-3063

Mailing address

1106 Santa Fe TRL
Suite #3
Duncanville, TX 75137-3063
Phone (214) 695-9341

Other identifiers 1

IdentifierTypeStateIssuer
13074OtherTXLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240826001466 TX Part B Supplier - Clinic/Group Practice 6901345750 Receives reassigned benefits from 1 practitioner
Practice locations: Duncanville, TX

National Provider Directory

National Provider Directory

Locations

1106 Santa Fe Trl
Ste 3
Duncanville, TX 75137
Phone (214) 695-9341

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1154516540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SANTA FE TRL",
            "address_2": "SUITE #3",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373063",
            "telephone_number": "214-695-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SANTA FE TRL",
            "address_2": "SUITE #3",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373063",
            "telephone_number": "214-695-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI L. WOOD LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "214-695-9341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "13074",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13074",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "13074",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.