Individual provider Active NPI

Anna Wingard, MS, LPC, NCC

  • Counselor
  • Midland City, AL
National Provider Identifier
1437739455
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4388 Issued in AL
Practice address
307 Fulton Dr
Midland City, AL 36350-6051
Phone
(706) 580-2867
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4388 AL Primary

Addresses

Primary practice location

307 Fulton Dr
Midland City, AL 36350-6051

Mailing address

307 Fulton Dr
Midland City, AL 36350-6051
Phone (706) 580-2867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328000684 AL Practitioner - Mental Health Counselor 3375980105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Counseling & Consulting LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

14790 Brownsferry Rd
Athens, AL 35611
Phone (256) 822-2375

251 Johnston St SE
Ste 100
Decatur, AL 35601
Phone (256) 822-2375

1634 Slaughter Rd
Ste C
Madison, AL 35758
Phone (256) 822-2375

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1437739455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 FULTON DR",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506051",
            "telephone_number": "706-580-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 FULTON DR",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506051",
            "telephone_number": "706-580-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "ANNA",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland City, AL

Sources for this page

Verify at the official NPI Registry.