Organization Active NPI

LM Wood Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Diamond Bar, CA
National Provider Identifier
1205977568
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC-43677 Issued in CA
Legal business name
LM WOOD MARRIAGE AND FAMILY THERAPY INC
Practice address
24254 Breckenridge CT
Diamond Bar, CA 91765-4366
Phone
(909) 860-8141
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Mrs. Lorene Wood, M.A. LMFTNPI 1679221469
Title
President
Phone
(909) 860-8141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC-43677 CA Primary

Addresses

Primary practice location

24254 Breckenridge CT
Diamond Bar, CA 91765-4366

Mailing address

24254 Breckenridge CT
Diamond Bar, CA 91765-4366
Phone (909) 860-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108000948 CA Part B Supplier - Clinic/Group Practice 8022469758 Receives reassigned benefits from 1 practitioner
Practice locations: Diamond Bar, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1205977568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24254 BRECKENRIDGE CT",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654366",
            "telephone_number": "909-860-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24254 BRECKENRIDGE CT",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654366",
            "telephone_number": "909-860-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM WOOD MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LORENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-860-8141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC-43677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.