Active NPI
Kerry Elena Wood, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1164999264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61449131
- Practice address
- 2100 24TH Ave S
Seattle, WA 98144-4637 - Phone
- (206) 382-5340
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61449131 | WA | Primary |
Addresses
Primary practice location
2100 24TH Ave S
Seattle, WA 98144-4637
Mailing address
2100 24TH Ave S
Seattle, WA 98144-4637
Phone (206) 382-5340
Other practice location 1
1000 Auburn Way S
Auburn, WA 98002-6132
Phone (253) 939-2202
Other practice location 2
1000 Auburn Way South
Auburn, WA 98002
Phone (253) 939-2202
Other practice location 3
1000 Auburn Way S
Auburn, WA 98002-6132
Phone (253) 939-2202
Other practice location 4
1000 Auburn Way S
Auburn, WA 98002-6132
Phone (253) 939-2202
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 |
|---|---|---|---|
| LH61449131 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1164999264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 24TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981444637",
"telephone_number": "206-382-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 24TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981444637",
"telephone_number": "206-382-5340"
}
],
"practiceLocations": [
{
"address_1": "1000 Auburn Way S",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980026132",
"country_code": "US",
"telephone_number": "253-939-2202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Auburn Way South",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "98002",
"country_code": "US",
"telephone_number": "253-939-2202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Auburn Way S",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980026132",
"country_code": "US",
"telephone_number": "253-939-2202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Auburn Way S",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980026132",
"country_code": "US",
"telephone_number": "253-939-2202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "KERRY",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61449131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.