Active NPI
Melissa Diane Wood, LPC, RPT
- Professional Counselor
- Rogers, AR
National Provider Identifier
1669193405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2411004
- Practice address
- 1200 W Walnut St Ste 1428
Rogers, AR 72756-3808 - Phone
- (479) 966-9894
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2411004 | AR | Primary |
Addresses
Primary practice location
1200 W Walnut St Ste 1428
Rogers, AR 72756-3808
Mailing address
1200 W Walnut St Ste 1428
Rogers, AR 72756-3808
Phone (479) 966-9894
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 |
|---|---|---|---|
| P2411004 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1669193405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WALNUT ST STE 1428",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563808",
"telephone_number": "479-966-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W WALNUT ST STE 1428",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563808",
"telephone_number": "479-966-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MELISSA",
"middle_name": "DIANE",
"credential": "LPC, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2411004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.