ANTHONY JEROME WOOD NCC, LPC-S
NPI 1215253620
Counselor - Professional in Southaven, MS

Active since April 09, 2010PECOS Enrolled
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671(662) 772-5937(662) 772-5940 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anthony Jerome Wood Ncc, Lpc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY JEROME WOOD NCC, LPC-S (NPI 1215253620) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (1326) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Senatobia.

NPPES Registry Identity

NPI1215253620
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANTHONY JEROME WOODCredential: NCC, LPC-S
Location Address8626 AIRWAYS BLVDSouthaven, MS 38671-2603
Mailing Address8626 Airways BlvdSouthaven, MS 38671-2603 · (662) 772-5937 · Fax (662) 772-5940
Fax(662) 772-5940
Sole ProprietorYes
Enumeration DateApril 9, 2010
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1215253620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1326
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1326 (MS)
Also ListedClinic/CenterTaxonomy 261Q00000X
8626 AIRWAYS BLVD, Southaven, MS 38671

Secondary Practice Location 1

Location 1311 E Main StSenatobia, MS 38668-2215 · Phone (662) 772-5937

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Jerome Wood Ncc, Lpc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Wood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
8626 AIRWAYS BLVD
Southaven, MS 38671
  • Reassigned Medicare billing, Mississippi enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Social Worker (Clinical)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Speech-Language Pathologist
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Counselor (Professional)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Nurse Practitioner (Psychiatric/Mental Health)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Social Worker (Clinical)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Counselor (Professional)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671
Counselor (Professional)
8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Wood's NPI number?

The NPI number for Anthony Wood is 1215253620. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Anthony Wood located?

Anthony Wood practices at 8626 Airways Blvd, Southaven, MS 38671. The listed phone number is (662) 772-5937.

What is Anthony Wood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Anthony Wood enrolled in Medicare?

Yes. Anthony Wood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Wood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Wood reassigns Medicare benefits to Desoto Family Counseling Center PLLC (Southaven, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Wood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Wood accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Anthony Wood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Wood was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.