Nicolejoanne Wood, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007912 Issued in IL

Practice address

121 S Wilke Rd
403
Arlington Heights, IL 60005-1533

Phone

(847) 577-0904

NPI assigned

Jul 12, 2011

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bza Behavioral Health LLCGroup PAC ID 9638492820, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Bza Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schaumburg, IL
  • NPI 1326307075
  Medicare reassignment Care Compare group NPD
• Northwest Behavioral Health Services, PC

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1770609315
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1154619195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E FALCON DR",
            "address_2": "103",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054372",
            "telephone_number": "847-208-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD",
            "address_2": "403",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051533",
            "telephone_number": "847-577-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "NICOLEJOANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Wolthusen, PSYD
• Womancare PC
• Christopher F. Wood, M.D.
• Erika Anna Wood, DDS
• Joan Wood, PH.D.
• Jacob Woods
• Daniel Benjamin Wool, MD
• McKenna Worline
• Kathi L Wotal, L.AC.
• Amanda Neu Wright, LPC

• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.

Verify at the official NPI Registry.