Individual provider Active NPI

Carolyn McCarter Wood

  • Marriage & Family Therapist
  • Candler, NC
National Provider Identifier
1356637367
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1650 Issued in NC
Practice address
33 Heatherly Dr
Candler, NC 28715-9557
Phone
(828) 778-9902
Fax
(815) 361-7428
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1650 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1650 NC

Addresses

Primary practice location

33 Heatherly Dr
Candler, NC 28715-9557

Mailing address

33 Heatherly Dr
Candler, NC 28715-9557
Phone (828) 778-9902

Other names 1

  • Carolyn McCarter Wood Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 14, 2017 through Jul 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1650NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Counseling Works, PLLC Current Accepting new patients

Organizations & group practices 1

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1356637367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HEATHERLY DR",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159557",
            "telephone_number": "828-778-9902",
            "fax_number": "815-361-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HEATHERLY DR",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159557",
            "telephone_number": "828-778-9902",
            "fax_number": "815-361-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CAROLYN",
        "middle_name": "MCCARTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1650",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WOOD",
            "middle_name": "MCCARTER",
            "credential": "MSW, MDIV,LCAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Candler, NC

Sources for this page

Verify at the official NPI Registry.