Lauren Elizabeth Wood, LMHC, BCABA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15447 Issued in FL

Practice address

495 Prosperity Lake Dr Ste 101
Saint Augustine, FL 32092-5045

Phone

(904) 370-3420

NPI assigned

Mar 1, 2012

Last updated

Dec 30, 2017By 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 2

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.

• Foundations Pediatrics Assessment and Treatment Center

  • Adolescent and Children Mental Health Clinic/Center
  • St Augustine, FL
  • NPI 1245086040
  NPD (past)
• Foundations Pediatrics Assessment and Treatment Center

  • Community/Behavioral Health Agency
  • St Augustine, FL
  • NPI 1841649241
  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1427322924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 7TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 PROSPERITY LAKE DR STE 101",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925045",
            "telephone_number": "904-370-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMHC, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15447",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-11-4392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women's Care Florida LLC
• Women's Care Florida LLC
• Womens Health Care of St Augustine PA
• Womens Integrative Healing
• Emily Wood
• Melissa Sue Wood, PT, DPT, MTC
• Thomas Wood
• Barbara Speckhard Woods, LMHC
• Tonya Marie Woods, MS
• Roger B Woolwine

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.