Individual provider Active NPI

Ronald Wood, PSY.D, M.DIV, LMHC

  • Mental Health Counselor
  • Tarpon Springs, FL
National Provider Identifier
1881007342
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16840 Issued in FL
Practice address
473 Carriage House LN
Tarpon Springs, FL 34688-7251
Phone
(813) 695-7894
Fax
(727) 245-8796
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16840 FL Primary
Professional Counselor 101YP2500X IMH 11844 FL

Addresses

Primary practice location

473 Carriage House LN
Tarpon Springs, FL 34688-7251

Mailing address

473 Carriage House LN
Tarpon Springs, FL 34688-7251
Phone (813) 695-7894

Other identifiers 1

IdentifierTypeStateIssuer
105585700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240502000306 FL Practitioner - Mental Health Counselor 6406296862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16840FLMDMental Health Counselor
IMH 11844FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Therapy and Counseling Inc Professional CurrentSince Apr 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ronaldwood@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1881007342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 CARRIAGE HOUSE LN",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887251",
            "telephone_number": "813-695-7894",
            "fax_number": "727-245-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CARRIAGE HOUSE LN",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887251",
            "telephone_number": "813-695-7894",
            "fax_number": "727-245-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "PSY.D, M.DIV, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16840",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "IMH 11844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105585700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.