Katherine Diane Wood, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-13723 Issued in NC

Practice address

323 W 2ND St
Washington, NC 27889-4801

Phone

(252) 975-3111

NPI assigned

Sep 19, 2015

Last updated

Sep 19, 2015By the provider in NPPES

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

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

• PHD Inc

  dba Passages Counseling Services

  • Community/Behavioral Health Agency
  • Washington, NC
  • NPI 1114233699
  NPD (past)

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442620800000",
    "number": "1396114385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 2ND ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894801",
            "telephone_number": "252-975-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W 2ND ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894801",
            "telephone_number": "252-975-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KATHERINE",
        "middle_name": "DIANE",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-13723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hakima Adele Whitley Evans
• William K. Grice (Coastal Carolina Respicare of the Inner Banks)
• Danielle Williams
• Sharice La'Shae Williams, LCSW-A
• Brooke Wingate, COTA/L
• Wooded Acres #1
• Wooded Acres #3
• Wooded Acres #4
• Wooded Acres #5
• Wooded Acres #6

• Addiction (Substance Use Disorder) Counselor in Washington, NC
• Providers in Washington, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; 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.