Active NPI
Ronald Wood, PSY.D, M.DIV, LMHC
- Mental Health Counselor
- Tarpon Springs, FL
National Provider Identifier
1881007342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16840
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105585700 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16840 | FL | MD | Mental Health Counselor |
| IMH 11844 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Therapy and Counseling Inc | Professional | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Professional Counselor
- Tarpon Springs, FL
- NPI 1245857598
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.