Brenda L Wood-Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001610 Issued in IA

Practice address

699 Walnut St 4TH
Des Moines, IA 50309-3929

Phone

(641) 745-0499

Fax

(515) 987-2390

NPI assigned

Apr 14, 2013

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

Other names 1

• Mrs. Brenda L Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Choices Therapy Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
  • NPI 1700471505
  NPD (past) Authorized official
• Choices Therapy Services, LLC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1932763521
  NPD (past) Authorized official

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1740623305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BUENA VISTA DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254653",
            "telephone_number": "641-745-0499",
            "fax_number": "515-987-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WALNUT ST 4TH",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093929",
            "telephone_number": "641-745-0499",
            "fax_number": "515-987-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-CLARK",
        "first_name": "BRENDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-14",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WOOD",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaime Leigh Wolfe, R.PH
• Lynley Anne Wolfe, LMSW
• Michael Wolnerman
• Lisa K Wolterman, CRNA
• Keslie L Wolver
• Dawn Wood, LMSW
• Devin Wood
• Eric W Wood, DO
• Kristian Wood, B.S.
• Tammy Lea Wood

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.