Diana Olga Wood, ADDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADDC0000014 Issued in CO

Practice address

720 S Colorado Blvd PH
Glendale, CO 80246-1904

Phone

(719) 800-2088

NPI assigned

Apr 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1801476288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 STATION WAY APT 458",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246861",
            "telephone_number": "719-291-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD PH",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "719-800-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DIANA",
        "middle_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "ADDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ADDC0000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Story
• Wild Soul Well-Being PLLC
• Jamila Cesanne Williams, BA
• Olivia Ella Wolfram, OTR
• Veronica Wong
• Shauna Gertrude Wright, DO
• Alissa N Yancey, RN
• Sung Yi, DPT

• All providers in Glendale, CO
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.