Active NPI
Benjamin Morgan Wood, LCSW, CSAC
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1184165052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904011565
- Practice address
- 517 W Grace St
Richmond, VA 23220-4911 - Phone
- (804) 783-2505
- Fax
- (804) 649-1635
- NPI assigned
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710102866 | VA | |
| Mental Health Counselor | 101YM0800X | 0904011565 | VA | Primary |
Addresses
Primary practice location
517 W Grace St
Richmond, VA 23220-4911
Mailing address
1520 W Main St Ste 202a
Richmond, VA 23220-4687
Phone (804) 362-8068
Other practice location 1
241 Greenhouse Rd
Lexington, VA 24450-3717
Phone (540) 462-6615
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bwood@dailyplanetva.org | Direct |
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 |
|---|---|---|---|
| 0710102866 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0904011565 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1184165052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W MAIN ST STE 202A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232204687",
"telephone_number": "804-362-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 W GRACE ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232204911",
"telephone_number": "804-783-2505",
"fax_number": "804-649-1635"
}
],
"practiceLocations": [
{
"address_1": "241 Greenhouse Rd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "VA",
"postal_code": "244503717",
"country_code": "US",
"telephone_number": "540-462-6615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "BENJAMIN",
"middle_name": "MORGAN",
"credential": "LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-13",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710102866",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904011565",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bwood@dailyplanetva.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "517 W Grace St",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "232204911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.