Individual provider Active NPI

Gretchen Lyn Wood, MA, LMHC, NCC

  • Mental Health Counselor
  • Columbus, GA
National Provider Identifier
1487369740
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004999A Issued in IN
Practice address
1621 Doerun Dr
Columbus, GA 31904-2525
Phone
(260) 248-0351
NPI assigned
Jan 20, 2023
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004999A IN Primary

Addresses

Primary practice location

1621 Doerun Dr
Columbus, GA 31904-2525

Mailing address

1621 Doerun Dr
Columbus, GA 31904-2525
Phone (260) 248-0351

Other names 1

  • Ms. Gretchen L Douglas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722002115 IN Practitioner - Mental Health Counselor 2163968546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Social Services of Indiana IncGroup PAC ID 7416344262, 5 clinicians

Practice addresses (Care Compare)

333 E Lewis St
Fort Wayne, IN 46802-3139
Phone (260) 426-3347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Indiana Inc. CurrentSince Jul 12, 2024 Accepting new patients
Compassion Counseling Mental Health Past Accepting new patients

Locations

333 E Lewis St
Fort Wayne, IN 46802
Phone (260) 426-3347

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1487369740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 DOERUN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042525",
            "telephone_number": "260-248-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 DOERUN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042525",
            "telephone_number": "260-248-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "GRETCHEN",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004999A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "DOUGLAS",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.