Individual provider Active NPI

Noelle Angela Wingate, LMFT

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1376881706
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41034 Issued in CA
Practice address
1451 Rimpau Ave Ste 209
Corona, CA 92879-7522
Phone
(951) 295-2856
Fax
(951) 734-2082
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 41034 CA Primary

Addresses

Primary practice location

1451 Rimpau Ave Ste 209
Corona, CA 92879-7522

Mailing address

13706 Hollowbrook Way
Corona, CA 92880-8827
Phone (951) 295-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1376881706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13706 HOLLOWBROOK WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928808827",
            "telephone_number": "951-295-2856",
            "fax_number": "951-734-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIMPAU AVE STE 209",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797522",
            "telephone_number": "951-295-2856",
            "fax_number": "951-734-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "NOELLE",
        "middle_name": "ANGELA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.