Andrea Rena Wood, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-1461675 Issued in ID

Practice address

1410 American Legion Blvd
Mountain Home, ID 83647-3128

Phone

(208) 295-2117

NPI assigned

Sep 10, 2024

Last updated

Jun 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.wood.1@16522.direct.athenahealth.com

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.

• Mountain Gem Counseling, LLC

  • Mental Health Counselor
  • Mountain Home, ID
  • NPI 1427918093
  NPD Authorized official
• Glenns Ferry Health Center, Inc.

  dba Desert Sage Health Centers

  • Federally Qualified Health Center (FQHC)
  • Mountain Home, ID
  • NPI 1518097047
  NPD (past)
• Glenns Ferry Health Center, Inc.

  dba Desert Sage Health Centers

  • Federally Qualified Health Center (FQHC)
  • Grand View, ID
  • NPI 1972633949
  NPD (past)
• Tranquility Wellness

  • Mental Health Counselor
  • Boise, ID
  • NPI 1841140928
  NPD (past)

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1396571907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 AMERICAN LEGION BLVD STE B",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473128",
            "telephone_number": "208-295-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 AMERICAN LEGION BLVD",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473128",
            "telephone_number": "208-295-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ANDREA",
        "middle_name": "RENA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-1461675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javlyn Dickson Weaver, PA
• Malinda Paige Westendorf
• Robert Weymouth, DPT
• Tara Whitney, PHARMD
• Juliann Covington Willardson, DMD
• Amber Woolley, IDMT
• Maureen Wray, M.A., CCC-SLP
• Alexandra Yewcic, LPC
• Krzysztof Hendryk Ziola, MD

• Mental Health Counselor in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.