Organization Active NPI

Wings of Change Individual, Couples and Family Therapy Incorporated

  • Mental Health Counselor
  • Oceanside, CA
National Provider Identifier
1326837865
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WINGS OF CHANGE INDIVIDUAL, COUPLES AND FAMILY THERAPY INCORPORATED
Practice address
1499 Enchante Way
Oceanside, CA 92056-5676
Phone
(760) 696-5055
Fax
(760) 696-5055
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melanie Ember CastellariNPI 1780863076
Title
Cfo
Phone
(760) 696-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1499 Enchante Way
Oceanside, CA 92056-5676

Mailing address

1499 Enchante Way
Oceanside, CA 92056-5676
Phone (760) 696-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623001925 CA Part B Supplier - Clinic/Group Practice 1557873999 Receives reassigned benefits from 3 practitioners
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1326837865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 ENCHANTE WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565676",
            "telephone_number": "760-696-5055",
            "fax_number": "760-696-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 ENCHANTE WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565676",
            "telephone_number": "760-696-5055",
            "fax_number": "760-696-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF CHANGE INDIVIDUAL, COUPLES AND FAMILY THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "CASTELLARI",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "EMBER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-696-5055"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.