Angelyn Wood, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5369 Issued in TN

Practice address

575 S Royal St Ste 24
Jackson, TN 38301-7307

Phone

(731) 215-0502

Fax

(731) 345-4086

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angie Scallion Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Mark Baldwin

  dba LifeWorks Resources

  • Professional Counselor
  • Jackson, TN
  • NPI 1871953182
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1568049369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 24",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "731-215-0502",
            "fax_number": "731-345-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 24",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "731-215-0502",
            "fax_number": "731-345-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ANGELYN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN",
            "identifier": "5369",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "SCALLION",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nikole Wolney
• Tekia C Womack
• Woman's Clinic
• Womans Clinic a Professional Association (Womans Clinic PA)
• Womens Resource and Rape Assistance Program (Wrap)
• Glenda Faye Wood, CASE MANAGER
• Joshua Evan Wood, D.O.
• Markeshe Wood, NP
• Norma Baker Wood, FNP
• Shayna Kay Wood

• Professional Counselor in Jackson, TN
• Providers in Jackson, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.