Individual provider Active NPI

Dawn M Wingert, LMFT

  • Marriage & Family Therapist
  • Scotts Valley, CA
National Provider Identifier
1528592052
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98313 Issued in CA
Practice address
5521 Scotts Valley Dr Ste 240
Scotts Valley, CA 95066-3471
Phone
(831) 824-4194
Fax
(831) 295-5583
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 98313 CA Primary

Addresses

Primary practice location

5521 Scotts Valley Dr Ste 240
Scotts Valley, CA 95066-3471

Mailing address

PO Box 66891
Scotts Valley, CA 95067-6891
Phone (831) 824-4194

Other practice location 1

5523 Scotts Valley Dr
Suite 108
Scotts Valley, CA 95066-3450
Phone (831) 824-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 25, 2026 through Jun 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
98313CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1528592052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66891",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950676891",
            "telephone_number": "831-824-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 SCOTTS VALLEY DR STE 240",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663471",
            "telephone_number": "831-824-4194",
            "fax_number": "831-295-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5523 Scotts Valley Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Scotts Valley",
            "state": "CA",
            "postal_code": "950663450",
            "country_code": "US",
            "telephone_number": "831-824-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGERT",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

Verify at the official NPI Registry.