Mary Kay Wood, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARY KAY WOOD, LLC

Practice address

3611 Lowell Ave
Lincoln, NE 68506-4848

Phone

(402) 483-1344

Fax

(402) 477-8284

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Mary Kay WoodNPI 1033297064

Title

Owner

Phone

(402) 483-1344

Specialties & licenses 1

Addresses

Other names 1

• Mary Kay Wood Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kay Wood, MSW

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1033297064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1689295560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 LOWELL AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064848",
            "telephone_number": "402-483-1344",
            "fax_number": "402-477-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 LOWELL AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064848",
            "telephone_number": "402-483-1344",
            "fax_number": "402-477-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KAY WOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-483-1344"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Kay Wood",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mary Kay Wood",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Olga Vladimirovna Martynyuk
• Johanna Louise Marushak
• Saaehmoo Dana Marvel
• Annette C Marvin
• Erin Marie Marvin
• Mary Swoboda, LCSW, LMHP, LLC
• Thomas Charles Marzka
• Christopher Teruo Masada, MD
• Erin Masada, M.D.
• Jeffrey J Maschka, MPT

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.