Jean Louise Wood, MA,CM,C-PRSS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10042011 Issued in OK

Practice address

3908 Terry Way
Del City, OK 73115-2836

Phone

(405) 600-9786

NPI assigned

Aug 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1578878633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 TERRY WAY",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731152836",
            "telephone_number": "405-600-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 TERRY WAY",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731152836",
            "telephone_number": "405-600-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEAN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MA,CM,C-PRSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "00013",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "10042011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED FAMILY MEDIATOR",
            "identifier": "251V00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CERTIFIED PRSS",
            "identifier": "101YM0800X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME MANAGEMENT SKILLS TRAINING/COACHING",
            "identifier": "376J00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY PH.D. CANDIDATE",
            "identifier": "390200000X",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINER FOR QPR GATEKEEPING",
            "identifier": "163WC1600X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMHSAS",
            "identifier": "171M00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY STAGE ALZHEIMERS AND ADULTS/YOUTH/ELDERLY WITH COGNITIVE LIMITATIONS",
            "identifier": "372600000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRISIS INTERVENTION ASSIST SUICIDE PREVENTION",
            "identifier": "146D00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HABILITATION AND INDEPENDENT LIVING SKILLS FOR DEVELOPMENTALLY DISABLED",
            "identifier": "373H00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL MEDICAL ELDERLY, YOUTH, ADULT TX PLAN SUPPORTIVE CARE",
            "identifier": "376K00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH REHABILITATION SPECIALIST",
            "identifier": "10042011",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BAR ASSOCIATION CERTIFIED CIVIL & EMPLOYMENT MEDIATOR",
            "identifier": "251V00000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT BEHAVIORAL HEALTH AND INTENSIVE CASE MANAGEMENT",
            "identifier": "163WC0400X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH CARE WORKER",
            "identifier": "172V00000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Alyne Williams, MHR, CM
• Leola Willis
• Angela F Wilson
• Marci Anne Wilson, RN
• Tonya Dailwayne Wilson
• Kelcie Denys Wood, ATC
• Clarissa Marie Wright, LPC
• Judith Anne Young
• Cara Denae Zellner, PHARMD

• Community/Behavioral Health Agency in Del City, OK
• Providers in Del City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.