Individual provider Active NPI

Kimberly Anne Wood

  • Marriage & Family Therapist
  • Westbrook, CT
National Provider Identifier
1346039096
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
003584 Issued in CT
Practice address
1163 Boston Post Rd
Westbrook, CT 06498-1947
Phone
(860) 399-9239
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 003584 CT Primary

Addresses

Primary practice location

1163 Boston Post Rd
Westbrook, CT 06498-1947

Mailing address

8 Mayfield Ter
East Lyme, CT 06333-1326
Phone (860) 961-8892

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

LicenseStateTypeSpecialty
003584CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Within Counseling LLC Marriage & Family Therapist CurrentSince Dec 14, 2025 Accepting new patients
Westbrook Youth & Family Services, Inc Marriage & Family Therapist CurrentSince May 4, 2025 Accepting new patients

Locations

1163 Boston Post Rd
Westbrook, CT 06498
Phone (860) 399-9239

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1346039096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAYFIELD TER",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331326",
            "telephone_number": "860-961-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 BOSTON POST RD",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064981947",
            "telephone_number": "860-399-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.