Active NPI
Hubert R Wood, LPC
- Mental Health Counselor
- Willow Street, PA
National Provider Identifier
1568414431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC002382
- Practice address
- 2850 Willow Street Pike N Ste B
Willow Street, PA 17584-9231 - Phone
- (717) 572-5968
- NPI assigned
- May 17, 2006
- Last updated
- Nov 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC002382 | PA | Primary |
Addresses
Primary practice location
2850 Willow Street Pike N Ste B
Willow Street, PA 17584-9231
Mailing address
7 Nettie Lane
Lancaster, PA 17603-9691
Other practice location 1
2819-0 Willow Street Pike
Willow Street, PA 17584
Phone (717) 464-1464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC002382 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1568414431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NETTIE LANE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176039691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 WILLOW STREET PIKE N STE B",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849231",
"telephone_number": "717-572-5968"
}
],
"practiceLocations": [
{
"address_1": "2819-0 Willow Street Pike",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "17584",
"country_code": "US",
"telephone_number": "717-464-1464",
"fax_number": "717-464-4348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "HUBERT",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC002382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Street, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.