Active NPI
Lisa Harol Wood, CAODC
- Counselor
- San Francisco, CA
National Provider Identifier
1164879425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RI-W1304250910
- Practice address
- 1301 Pierce St.
San Francisco, CA 94115 - Phone
- (415) 553-8200
- NPI assigned
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RI-W1304250910 | CA | Primary |
Addresses
Primary practice location
1301 Pierce St.
San Francisco, CA 94115
Mailing address
1153 Oak St.
San Francisco, CA 94117
Phone (415) 431-9000
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 |
|---|---|---|---|
| RI-W1304250910 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1164879425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 OAK ST.",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94117",
"telephone_number": "415-431-9000",
"fax_number": "415-431-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PIERCE ST.",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94115",
"telephone_number": "415-553-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "LISA",
"middle_name": "HAROL",
"name_prefix": "Ms.",
"credential": "CAODC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "RI-W1304250910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.