Crystal Wood, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I.1600635 Issued in OH

Practice address

10315 Bernardin Cir
Dallas, TX 75243-2601

Phone

(216) 288-5115

NPI assigned

Mar 22, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1619626132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 BERNARDIN CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432601",
            "telephone_number": "216-288-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 BERNARDIN CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432601",
            "telephone_number": "216-288-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CRYSTAL",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1600635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gayle Wood, RD LD
• Ashley Dawn Wood, DO
• Billy Wood
• Brandon Wood, ATC, MD STUDENT
• Cedric Scott Wood, L.P.C.
• Daniel James Wood, D.O.
• Emily Ann Wood, MD
• Henry H Wood II, D.D.S.
• Jennifer L Wood, NP
• John T. Wood, DDS

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.