Individual provider Active NPI

Jason Paul Wood, LPCC

  • Professional Counselor
  • Grand Forks, ND
National Provider Identifier
1548770548
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1118-5-1-21-443 Issued in ND
Practice address
1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone
(701) 795-8550
NPI assigned
Oct 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1118-5-1-21-443 ND Primary
Professional Counselor 101YP2500X CC03555 MN

Addresses

Primary practice location

1615 17TH Ave S
Grand Forks, ND 58201-5372

Mailing address

1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240528001635 ND Practitioner - Mental Health Counselor 2769855931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Christian Counseling Center IncGroup PAC ID 7719946904, 6 clinicians

Practice addresses (Care Compare)

1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC03555MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Christian Counseling Center Inc Mental Health CurrentSince Sep 15, 2021 Accepting new patients
The Center for Christian Counseling, Consultation and Training Inc. Current Accepting new patients
Northland Christian Counseling Center PastSince Jun 2, 2024 Accepting new patients

Locations

211 Arnold Ave N
Thief River Falls, MN 56701
Phone (701) 795-8550

1615 17th Ave S
Grand Forks, ND 58201
Phone (701) 795-8550

2315 Library Cir
Grand Forks, ND 58201
Phone (701) 795-8530

5310 Wall St
Ste 500
Madison, WI 53718
Phone (608) 274-8294

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1548770548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015372",
            "telephone_number": "701-795-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015372",
            "telephone_number": "701-795-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1118-5-1-21-443",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.