Individual provider Active NPI

Natalie Dorine Wingard, MS

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1720664170
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81188 Issued in TX
Practice address
3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793
Phone
(469) 490-1442
Fax
(214) 380-4965
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 81188 TX Primary

Addresses

Primary practice location

3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793

Mailing address

3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793
Phone (469) 490-1442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
81188TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Single Specialty Past Accepting new patients
Kenyatta Black Counseling LLC Professional Past Accepting new patients

Organizations & group practices 2

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1720664170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162793",
            "telephone_number": "469-490-1442",
            "fax_number": "214-380-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162793",
            "telephone_number": "469-490-1442",
            "fax_number": "214-380-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "NATALIE",
        "middle_name": "DORINE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.