Individual provider Active NPI

Lisa T. Wood, LCSW

  • Mental Health Counselor
  • Neenah, WI
National Provider Identifier
1295414423
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6716-123 Issued in WI
Practice address
145 W Wisconsin Ave
Neenah, WI 54956-3075
Phone
(920) 725-1230
Fax
(920) 215-6164
NPI assigned
Jul 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6716-123 WI Primary

Addresses

Primary practice location

145 W Wisconsin Ave
Neenah, WI 54956-3075

Mailing address

1314 Mayer St
Menasha, WI 54952-1405
Phone (920) 213-8137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827003313 WI Practitioner - Mental Health Counselor 9436698024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LK Anderson Consulting LLCGroup PAC ID 8325489438, 11 clinicians

Practice addresses (Care Compare)

325 N Commercial St
Neenah, WI 54956-2665
Phone (920) 725-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6716-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LK Anderson Consulting LLC Mental Health CurrentSince Aug 8, 2024 Accepting new patients
Cherry Blossom Healing, LLC CurrentSince Jul 16, 2023 Accepting new patients
Radiology Associates of the Fox Valley, SC Past Accepting new patients

Locations

145 W Wisconsin Ave
Neenah, WI 54956
Phone (920) 212-6050

325 N Commercial St
Neenah, WI 54956
Phone (920) 722-1583

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1295414423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 MAYER ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521405",
            "telephone_number": "920-213-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W WISCONSIN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563075",
            "telephone_number": "920-725-1230",
            "fax_number": "920-215-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LISA",
        "middle_name": "T.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6716-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.