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KRISTINA WOOD LADC-MH SUPERVISION
NPI 1568158293
Counselor - Addiction (Substance Use Disorder) in Tishomingo, OK

Active since April 14, 2023PECOS EnrolledAccepts Medicare Assignment
102 E 4TH ST, TISHOMINGO, OK 73460(580) 257-9614 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2023, Apr 14, 2023 (2 updates tracked since 2023).

About Kristina Wood Ladc-mh Supervision NPPES

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

KRISTINA WOOD LADC-MH SUPERVISION (NPI 1568158293) is an individual addiction (substance use disorder) provider in Tishomingo, Oklahoma and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568158293
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRISTINA WOODCredential: LADC-MH SUPERVISION
Location Address102 E 4TH STTishomingo, OK 73460-2002
Mailing Address102 E 4th StTishomingo, OK 73460-2002 · (580) 257-9614
Phone(580) 257-9614
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 14, 2023
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1568158293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X
102 E 4TH ST, Tishomingo, OK 73460
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Wood Ladc-mh Supervision is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446739205
PECOS Enrollment IDI20260211002423
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.

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 Kristina Wood's NPI number?

The NPI number for Kristina Wood is 1568158293. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Kristina Wood located?

Kristina Wood practices at 102 E 4th St, Tishomingo, OK 73460. The listed phone number is (580) 257-9614.

What is Kristina Wood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kristina Wood enrolled in Medicare?

Yes. Kristina Wood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristina Wood was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.