Active NPI
Rosanna M Wood, LCPC
- Mental Health Counselor
- Siler City, NC
National Provider Identifier
1376733980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6850
- Practice address
- 2695 Siler City Glendon Rd
Siler City, NC 27344-0584 - Phone
- (919) 810-0770
- Fax
- (919) 742-4131
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1289 | MT | |
| Mental Health Counselor | 101YM0800X | 6850 | NC | Primary |
Addresses
Primary practice location
2695 Siler City Glendon Rd
Siler City, NC 27344-0584
Mailing address
PO Box 584
2695 Siler City-Glendon Road
Siler City, NC 27344-0584
Phone (919) 810-0770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6850 | Other | NC | STATE OF NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS |
| 1289 | Other | MT | STATE OF MONTANA LICENSE |
| 6103810 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1289 | MT | MD | Mental Health Counselor |
| 6850 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Counseling & Consulting | Past | 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.
-
- Community/Behavioral Health Agency
- Siler City, NC
- NPI 1912133802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1376733980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 584",
"address_2": "2695 SILER CITY-GLENDON ROAD",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273440584",
"telephone_number": "919-810-0770",
"fax_number": "919-742-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 SILER CITY GLENDON RD",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273440584",
"telephone_number": "919-810-0770",
"fax_number": "919-742-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ROSANNA",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "1289",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS",
"identifier": "6850",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MONTANA LICENSE",
"identifier": "1289",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103810",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Siler City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.