Active NPI
Paige Elizabeth Wing, MED LPC
- Mental Health Counselor
- Beaumont, TX
National Provider Identifier
1649917030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82955
- Practice address
- 350 Pine St Ste 760
Beaumont, TX 77701-2421 - Phone
- (409) 223-1433
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 82955 | TX | Primary |
Addresses
Primary practice location
350 Pine St Ste 760
Beaumont, TX 77701-2421
Mailing address
157 Windsor Cir
Lumberton, TX 77657-7167
Phone (409) 658-1237
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82955 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1649917030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 WINDSOR CIR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776577167",
"telephone_number": "409-658-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PINE ST STE 760",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777012421",
"telephone_number": "409-223-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "PAIGE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MED LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "82955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.