Active NPI
Kirby Blair Wood, LPC
- Counselor
- Lubbock, TX
National Provider Identifier
1851801344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 74244
- Practice address
- 4601 50TH St Ste 108a
Lubbock, TX 79414-3513 - Phone
- (806) 305-2012
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74244 | TX | |
| Counselor | 101Y00000X | 74244 | TX | Primary |
Addresses
Primary practice location
4601 50TH St Ste 108a
Lubbock, TX 79414-3513
Mailing address
PO Box 65737
Lubbock, TX 79464-5681
Phone (806) 305-2012
Other practice location 1
6610 Quaker Ave
Lubbock, TX 79413
Phone (806) 743-2669
Other practice location 2
6610 Quaker Ave
Lubbock, TX 79413
Phone (806) 743-2669
Other practice location 3
6610 Quaker Ave
Lubbock, TX 79413
Phone (806) 743-4270
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 |
|---|---|---|---|
| 74244 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level Up Therapy, PLLC | Professional | Current | Accepting new patients |
Locations
4601 50th St
Ste 108A
Lubbock, TX 79414
Phone (806) 305-2012
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.
-
- Professional Counselor
- Lubbock, TX
- NPI 1659979862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1851801344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65737",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794645681",
"telephone_number": "806-305-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 50TH ST STE 108A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794143513",
"telephone_number": "806-305-2012"
}
],
"practiceLocations": [
{
"address_1": "6610 Quaker Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "79413",
"country_code": "US",
"telephone_number": "806-743-2669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6610 Quaker Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "79413",
"country_code": "US",
"telephone_number": "806-743-2669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6610 Quaker Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "79413",
"country_code": "US",
"telephone_number": "806-743-4270",
"fax_number": "806-743-9097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "KIRBY",
"middle_name": "BLAIR",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74244",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "74244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.