KIMBERLY WOOD CPC - INTERN
NPI 1447811120
Counselor - Mental Health in Las Vegas, NV
About Kimberly Wood Cpc - Intern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WOOD CPC - INTERN (NPI 1447811120) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CI661) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Wood Cpc - Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Wood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 17 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.
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 Kimberly Wood's NPI number?
The NPI number for Kimberly Wood is 1447811120. It was assigned to this individual provider in the NPPES registry on June 24, 2019.
Where is Kimberly Wood located?
Kimberly Wood practices at 2921 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 942-1774.
What is Kimberly Wood's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Wood enrolled in Medicare?
Yes. Kimberly Wood is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Wood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wood reassigns Medicare benefits to Legacy Health And Wellness, LLC (Las Vegas, NV). 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 Kimberly Wood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Wood was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kimberly Wood, CPC - INTERN · NPI 1447811120
Mental Health provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 24, 2019.
## Identity
- **NPI:** 1447811120 (Entity type: Individual)
- **Enumerated:** June 24, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CI661 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2921 N TENAYA WAY, Las Vegas, NV 89128-1409
- **Phone:** (702) 942-1774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Legacy Health And Wellness, LLC (NPI 1003507500, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447811120) · Data from the CMS NPPES public registry.