MS. JEAN LOUISE WOOD MACMC-PRSS NPI 1578878633

NPI Information

NPI: 1578878633
Provider Name: MS. JEAN LOUISE WOOD, MA,CM,C-PRSS
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
3908 TERRY WAY
DEL CITY, OK
ZIP 73115
Phone: (405) 600-9786
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MS. Jean Louise Wood, MA,CM,C-PRSS is a community behavioral health in Del City, OK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MS. Jean Louise Wood, MA,CM,C-PRSS NPI is 1578878633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3908 TERRY WAY
DEL CITY, OK
ZIP 73115-836
Phone: (405) 600-9786

The enumeration date for this NPI number is 8/13/2010 and was last updated on 12/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	00013	OKLAHOMA	No
2	251S00000X	Community/Behavioral Health		10042011	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	171M00000X	OTHER	OKLAHOMA	ODMHSAS
2	251V00000X	OTHER	OKLAHOMA	CERTIFIED FAMILY MEDIATOR
3	376J00000X	OTHER	OKLAHOMA	IN HOME MANAGEMENT SKILLS TRAINING/COACHING
4	390200000X	OTHER	ARIZONA	PSYCHOLOGY PH.D. CANDIDATE
5	163WC1600X	OTHER	OKLAHOMA	TRAINER FOR QPR GATEKEEPING
6	146D00000X	OTHER	OKLAHOMA	CRISIS INTERVENTION ASSIST SUICIDE PREVENTION
7	163WC0400X	OTHER	OKLAHOMA	ADULT BEHAVIORAL HEALTH AND INTENSIVE CASE MANAGEMENT
8	372600000X	OTHER	OKLAHOMA	EARLY STAGE ALZHEIMERS AND ADULTS/YOUTH/ELDERLY WITH COGNITIVE LIMITATIONS
9	373H00000X	OTHER	OKLAHOMA	HABILITATION AND INDEPENDENT LIVING SKILLS FOR DEVELOPMENTALLY DISABLED
10	101YM0800X	OTHER	OKLAHOMA	MEDICAID CERTIFIED PRSS
11	251V00000X	OTHER	OKLAHOMA	OKLAHOMA STATE BAR ASSOCIATION CERTIFIED CIVIL & EMPLOYMENT MEDIATOR
12	172V00000X	OTHER	OKLAHOMA	COMMUNITY HEALTH CARE WORKER
13	10042011	OTHER	OKLAHOMA	BEHAVIORAL HEALTH REHABILITATION SPECIALIST
14	376K00000X	OTHER	OKLAHOMA	GENERAL MEDICAL ELDERLY, YOUTH, ADULT TX PLAN SUPPORTIVE CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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