A Space for Grace

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A SPACE FOR GRACE

Practice address

215 Fidalgo Ave Ste 204a
Kenai, AK 99611-7776

Phone

(907) 252-8878

NPI assigned

Apr 25, 2023

Organization subpart

No

Name

Kelly Lynn Wingster, MS, LPCNPI 1689237489

Title

LPC, Owner

Phone

(907) 252-8878

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Wingster, MS

  • Mental Health Counselor
  • Kenai, AK
  • NPI 1689237489
  NPD Authorized official

• A Space for Grace Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2023.

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1013605336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 SEINE CT",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118827",
            "telephone_number": "907-252-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FIDALGO AVE STE 204A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117776",
            "telephone_number": "907-252-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SPACE FOR GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WINGSTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LPC, OWNER",
        "authorized_official_telephone_number": "907-252-8878",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Space for Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1918 Winter Street Operating Co LLC
• A Space for Grace, LLC
• A Speech Story
• Abc Pregnancy Care Center
• Catherine Afonin
• Akeela Inc

• All providers in Kenai, AK
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.