Individual provider Active NPI

Jenna M Wood, MS, LPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1790130276
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016040359 Issued in MO
Practice address
1736 E Sunshine St
Springfield, MO 65804-1343
Phone
(417) 450-2158
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2016040359 MO Primary

Addresses

Primary practice location

1736 E Sunshine St
Springfield, MO 65804-1343

Mailing address

1509 W Snider St
Ozark, MO 65721-7371
Phone (417) 450-2158

Other practice location 1

1322 S Campbell Ave
Springfield, MO 65807
Phone (417) 761-7760

Other practice location 2

1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone (417) 869-8400

Other practice location 3

3050 S National Ave
Suite 104
Springfield, MO 65804
Phone (417) 597-4572

Other identifiers 1

IdentifierTypeStateIssuer
490037506MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000634 MO Practitioner - Mental Health Counselor 8820518871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Healing, LLC Professional CurrentSince Feb 1, 2025 Accepting new patients

Locations

1736 E Sunshine St
Ste 811
Springfield, MO 65804
Phone (417) 582-3097

Organizations & group practices 1

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1790130276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W SNIDER ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217371",
            "telephone_number": "417-450-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041343",
            "telephone_number": "417-450-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 S Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65807",
            "country_code": "US",
            "telephone_number": "417-761-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1864 S Kentwood Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042323",
            "country_code": "US",
            "telephone_number": "417-869-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 S National Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65804",
            "country_code": "US",
            "telephone_number": "417-597-4572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016040359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490037506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.