BOBBY J WOOD (LCPC) – Mental Health Counselor, NPI 1922343532

BOBBY J WOOD (LCPC) is a healthcare provider. based in Alton, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180008379 (IL). The NPI Number for BOBBY J WOOD (LCPC) is 1922343532

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
BOBBY J WOOD (LCPC)
NPI
1922343532
Phone
(618) 462-2331
Address
2615 EDWARDS ST
Enumeration Date
7 December 2012
Last Update Date
26 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6307195454
Graduation Year
2005 (21 years ago)
PAC ID
1850742123
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20240111000240
Address ID
IL605153437DO1341XAVEX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for BOBBY J WOOD (LCPC)

  • 2615 EDWARDS ST

    ALTON, IL 620023915

    Phone: (618) 462-2331

    Fax: (618) 462-2504

    Type: Mailing

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Fax: (847) 390-4757

    Type: Mailing

  • 1341 WARREN AVE

    DOWNERS GROVE, IL 605153437

    Phone: (630) 719-5454

    Fax: (630) 719-1263

    Type: Location

  • 2615 Edwards St

    Alton, IL 620023915

    Phone: (618) 462-2331

    Fax: (618) 462-2504

    Type: Location

  • 50 Northgate Industrial Dr

    Granite City, IL 620406805

    Phone: (618) 877-4420

    Type: Location

  • 448 WYLIE DR

    NORMAL, IL 617615405

    Phone: (161) 851-2180

    Fax: (618) 462-2504

    Type: Mailing

  • 50 NORTHGATE INDUSTRIAL DR

    GRANITE CITY, IL 620406805

    Phone: (618) 877-4420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240111000240IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

Can I verify BOBBY J WOOD (LCPC) with an NPI only?
You can start verification with NPI 1922343532 for BOBBY J WOOD (LCPC), then check state licensing separately.
Is BOBBY J WOOD (LCPC) listed as active for patients and plans?
The listing shows BOBBY J WOOD (LCPC) as active in the NPI system.
What taxonomy line describes BOBBY J WOOD (LCPC)?
For research purposes, treat BOBBY J WOOD (LCPC) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BOBBY J WOOD (LCPC) on a map?
Expect Alton, Illinois as a primary anchor for BOBBY J WOOD (LCPC) unless the record lists multiple sites.
Is the information about BOBBY J WOOD (LCPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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