Individual provider Active NPI

Cynthia Wood, M.ED. LPC

  • Counselor
  • Heavener, OK
National Provider Identifier
1508285867
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7700 Issued in OK
Practice address
123 E Avenue C
Heavener, OK 74937-2603
Phone
(918) 653-2543
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7700 OK
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X 7700 OK Primary

Addresses

Primary practice location

123 E Avenue C
Heavener, OK 74937-2603

Mailing address

22602 Valley View Rd
Poteau, OK 74953-9120
Phone (918) 287-8328

Other practice location 1

22602 Valley View Rd
Poteau, OK 74953-9120
Phone (918) 287-8328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240216003741 OK Practitioner - Mental Health Counselor 8426492471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7700OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Counseling, Inc Mental Health CurrentSince Jan 23, 2024 Accepting new patients

Locations

123 E Avenue C
Heavener, OK 74937
Phone (918) 653-2543

309 Rogers Ave
Poteau, OK 74953
Phone (918) 647-5395

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, 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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1508285867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22602 VALLEY VIEW RD",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749539120",
            "telephone_number": "918-287-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E AVENUE C",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372603",
            "telephone_number": "918-653-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22602 Valley View Rd",
            "address_purpose": "LOCATION",
            "city": "Poteau",
            "state": "OK",
            "postal_code": "749539120",
            "country_code": "US",
            "telephone_number": "918-287-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CYNTHIA",
        "credential": "M.ED. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7700",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "7700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heavener, OK

Sources for this page

Verify at the official NPI Registry.