Active NPI
Gary Lee Wood, LMHC
- Mental Health Counselor
- Largo, FL
National Provider Identifier
1750782231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12857
- Practice address
- 1301 Seminole Blvd
Building a, Suite 103
Largo, FL 33770-8173 - Phone
- (727) 213-5379
- NPI assigned
- Sep 15, 2014
- Last updated
- Sep 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12857 | FL | Primary |
Addresses
Primary practice location
1301 Seminole Blvd
Building a, Suite 103
Largo, FL 33770-8173
Mailing address
1301 Seminole Blvd
Building a, Suite 103
Largo, FL 33770-8173
Phone (727) 213-5379
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 |
|---|---|---|---|
| MH12857 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1750782231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SEMINOLE BLVD",
"address_2": "BUILDING A, SUITE 103",
"city": "LARGO",
"state": "FL",
"postal_code": "337708173",
"telephone_number": "727-213-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SEMINOLE BLVD",
"address_2": "BUILDING A, SUITE 103",
"city": "LARGO",
"state": "FL",
"postal_code": "337708173",
"telephone_number": "727-213-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.