JENNA M WOOD (NPI# 1790130276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790130276 |
| Entity Type | Individual |
| Full Name | JENNA M WOOD |
| Credential | MS, LPC |
| Practice Address |
1322 S Campbell Ave Springfield MO 65807 |
| Mailing Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 4177617760 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615065 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2016040359 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 490037506 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3050 S National Ave, Suite 104, Springfield, MO 65804 | 4175974572 |
| Street Address |
1322 S CAMPBELL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235184243 | Forest Institute of Professional Psychology | Psychologist | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2006-05-24 |
| 1023525110 | Ashley Nicole Watson | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2018-01-10 |
| 1568822765 | Richard A Sowell | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2016-03-01 |
| 1851757173 | Jonathan Davis Richards | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2016-01-04 |
| 1023424678 | Mayra A Derrington | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2014-07-03 |
| 1104256262 | Carmen Rachelle Mcintyre | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2013-11-26 |
| 1891124962 | Vanessa Lynne Irons | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2013-11-08 |
| 1548698533 | Joshua Thomas Davis | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2013-10-29 |
| 1023362043 | Jeffrey H Cornelius-white | Counselor | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2012-10-29 |
| 1629340567 | April Michele Williams | Behavioral Analyst | 1322 S Campbell Ave, Springfield, MO 65807-1445 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on JENNA M WOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.