Individual provider Active NPI

Enid Wood

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1972935633
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60639456 Issued in WA
Practice address
20 Bigleaf LN
Bellingham, WA 98229-4404
Phone
(360) 312-3856
NPI assigned
Aug 5, 2013
Reactivated
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60639456 WA Primary

Addresses

Primary practice location

20 Bigleaf LN
Bellingham, WA 98229-4404

Mailing address

20 Bigleaf LN
Bellingham, WA 98229-4404

Other practice location 1

1100 S 2nd St
Mount Vernon, WA 98273-4209
Phone (360) 419-3500

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1972935633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BIGLEAF LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BIGLEAF LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294404",
            "telephone_number": "360-312-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982734209",
            "country_code": "US",
            "telephone_number": "360-419-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ENID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "deactivation_date": "2024-08-07",
        "reactivation_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60639456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.