Organization Active NPI

Winds of Change Marriage and Family Counseling Center, Inc

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1487428496
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WINDS OF CHANGE MARRIAGE AND FAMILY COUNSELING CENTER, INC
Practice address
115 E Hickory Ave
Lompoc, CA 93436-7274
Phone
(805) 350-1936
Fax
(805) 430-8151
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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

Authorized official

Name
Mrs. Jenna-Brie Engelke, ASWNPI 1134793318
Title
Secretary
Phone
(805) 952-2230

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

115 E Hickory Ave
Lompoc, CA 93436-7274

Mailing address

PO Box 562
Los Alamos, CA 93440-0562
Phone (805) 350-1936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240814001261 CA Part B Supplier - Clinic/Group Practice 5799223384 Receives reassigned benefits from 1 practitioner
Practice locations: Lompoc, CA

National Provider Directory

National Provider Directory

Locations

115 E Hickory Ave
Ste C
Lompoc, CA 93436
Phone (804) 441-5336

115 E Hickory Ave
Lompoc, CA 93436
Phone (805) 350-1936

Practitioners & affiliated clinicians

Practitioners 5

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": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1487428496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "LOS ALAMOS",
            "state": "CA",
            "postal_code": "934400562",
            "telephone_number": "805-350-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HICKORY AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367274",
            "telephone_number": "805-350-1936",
            "fax_number": "805-430-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDS OF CHANGE MARRIAGE AND FAMILY COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "ENGELKE",
        "authorized_official_first_name": "JENNA-BRIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "805-952-2230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.