Elizabeth Simons Wingard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

25 Woods Lake Rd Ste 600
Greenville, SC 29607-2766

Phone

(864) 383-9002

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Modern Wellness Family Counseling, LLC

  • Marriage & Family Therapist
  • Spartanburg, SC
  • NPI 1972146611
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1801507033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072766",
            "telephone_number": "864-383-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "ELIZABETH",
        "middle_name": "SIMONS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://doxy.me/elizabethmodernwellness",
            "affiliation": "N",
            "address_1": "25 Woods Lake Rd Ste 600",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296072766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juli Anne Windsor, PA-C
• Robert Blake Windsor, M.D.
• Douglas E. Winesett, M.D.
• Ethan S Wing, C.R.N.A.
• Ainsley Elisabeth Wingard, PA-C
• Karen Leigh Wingate, PT
• Matthew Bennie Wingate
• James W Winget, CRNA
• Andrea Nicole Wininger, M.D.
• Matthew Wink, DC

• Mental Health Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.