JACKIE MARIE WOOD LPCC
NPI 1790274959
Counselor - Mental Health in Mankato, MN

Active since May 03, 2018PECOS Enrolled
710 S 2ND ST, MANKATO, MN 56001(507) 625-7660(507) 625-8998 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Apr 21, 2020, May 3, 2018 (3 updates tracked since 2018).

About Jackie Marie Wood Lpcc NPPES

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

JACKIE MARIE WOOD LPCC (NPI 1790274959) is an individual mental health provider in Mankato, Minnesota, licensed in Minnesota (CC01773) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waseca.

NPPES Registry Identity

NPI1790274959
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE MARIE WOODCredential: LPCC
Location Address710 S 2ND STMankato, MN 56001-3810
Mailing Address710 S 2nd StMankato, MN 56001-3810 · (507) 625-7660 · Fax (507) 625-8998
Fax(507) 625-8998
Sole ProprietorNo
Enumeration DateMay 3, 2018
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1790274959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · CC01773
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC01773 (MN)
710 S 2ND ST, Mankato, MN 56001

Secondary Practice Location 1

Location 1401 3rd Ave NEWaseca, MN 56093-3301 · Phone (507) 625-7660 · Fax (507) 625-8998

Other Identifiers 1

OtherCC01773MN · Licensed Professional Clinical Counselor

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackie Marie Wood Lpcc 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.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
710 S 2ND ST
MANKATO, MN 56001
Counselor (Mental Health)
710 S 2ND ST
MANKATO, MN 56001
Psychologist
710 S 2ND ST
MANKATO, MN 56001
Counselor (Professional)
710 S 2ND ST
MANKATO, MN 56001

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 Jackie Wood's NPI number?

The NPI number for Jackie Wood is 1790274959. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Jackie Wood located?

Jackie Wood practices at 710 S 2nd St, Mankato, MN 56001. The listed phone number is (507) 625-7660.

What is Jackie Wood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jackie Wood enrolled in Medicare?

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

What insurance does Jackie Wood accept?

Health plans from HealthPartners list Jackie 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 Jackie Wood was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.