Individual provider Active NPI

David Michael Wood, LCMHC, LCAS

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1760148522
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17217 Issued in NC
Practice address
150 Fairview Rd Ste 310
Mooresville, NC 28117-9513
Phone
(407) 782-3494
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-25438 NC
Mental Health Counselor 101YM0800X 17217 NC Primary

Addresses

Primary practice location

150 Fairview Rd Ste 310
Mooresville, NC 28117-9513

Mailing address

508 E Fremont St
Burgaw, NC 28425-5130
Phone (980) 223-1694

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

LicenseStateTypeSpecialty
LCAS-25438NCMDAddiction (Substance Use Disorder) Counselor
17217NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Recovery Medical Services Addiction (Substance Use Disorder) PastSince Nov 21, 2021 Accepting new patients
Shah Anuj MD PC PastSince Nov 21, 2021 Accepting new patients
Renee J Wolf Inc PastSince Dec 7, 2025 Accepting new patients
Newpath Counseling and Consulting, PLLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1760148522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E FREMONT ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255130",
            "telephone_number": "980-223-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FAIRVIEW RD STE 310",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179513",
            "telephone_number": "407-782-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25438",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.