Kimberly D Wood, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.012479 Issued in IL

Practice address

765 Ela Rd
Suite 211
Lake Zurich, IL 60047-2385

Phone

(847) 550-0395

NPI assigned

Apr 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catherine J Hunter & Associates LTD

  • Clinical Social Worker
  • Lake Zuirch, IL
  • NPI 1093811531
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1376077685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ELA RD",
            "address_2": "SUITE 211",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ELA RD",
            "address_2": "SUITE 211",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472385",
            "telephone_number": "847-550-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Speech Connections PLLC
• Melissa Lynn Wise, MS SLP
• Women'S Physical Therapy Institute Inc.
• Brian Wood, LPC
• Joyce Wood, PA-C
• Julie Ann Wubs, RN, ACNP
• Xanthi Zafiris PLLC
• Ann Hanl Yang, PHARMD
• Zoe Yohe, M.S.ED
• Soo Young Yom

• Professional Counselor in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.