Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristina Wood, LADC-MHSUPERVISION

Individual provider Counselor · NPI 1568158293

Kristina Wood, LADC-MHSUPERVISION is a Mental Health Counselor in Tishomingo, Oklahoma. Qualified in 2023, 3 years ago. Practices with Lighthouse Behavioral Wellness Centers, a 57-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Specialties on file
2

Practice location Address checks out

102 E 4th St
Tishomingo, OK 73460-2002
Phone: (580) 257-9614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X

Record details

NPI number1568158293
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC-MHSUPERVISION
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lighthouse Behavioral Wellness Centers — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tishomingo