Individual provider Active NPI

Merode Wood, LPC, LMHC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1154781433
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13402 Issued in NC
Practice address
615 Douglas St Ste 500
Durham, NC 27705-6616
Phone
(919) 767-0250
Fax
(919) 797-1253
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 13698 FL
Mental Health Counselor 101YM0800X 13402 NC Primary

Addresses

Primary practice location

615 Douglas St Ste 500
Durham, NC 27705-6616

Mailing address

615 Douglas St Ste 500
Durham, NC 27705-6616
Phone (919) 767-0250

Other practice location 1

7700 NW 48th Ave
Coconut Creek
Coconut Creek, FL 33073-3508
Phone (954) 698-9222 ext. 2045

Other names 1

  • Merode Ward-Lichterman Former name

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

LicenseStateTypeSpecialty
IMH 13698FLMDMental Health Counselor
13402NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Collaborative North Carolina, LLC Past Accepting new patients
Veritas Collaborative, LLC Past Accepting new patients
Veritas Collaborative, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1154781433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DOUGLAS ST STE 500",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056616",
            "telephone_number": "919-767-0250",
            "fax_number": "919-797-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DOUGLAS ST STE 500",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056616",
            "telephone_number": "919-767-0250",
            "fax_number": "919-797-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 NW 48th Ave",
            "address_2": "Coconut Creek",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330733508",
            "country_code": "US",
            "telephone_number": "954-698-9222 x2045",
            "fax_number": "954-698-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MERODE",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 13698",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERODE",
            "last_name": "WARD-LICHTERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.