Individual provider Active NPI

Han Ann Wingate, LMFT

  • Marriage & Family Therapist
  • State College, PA
National Provider Identifier
1841325925
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48927 Issued in CA
Practice address
864 N Allen St
State College, PA 16803-3536
Phone
(707) 694-0280
NPI assigned
Feb 22, 2007
Reactivated
Apr 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 48927 CA Primary

Addresses

Primary practice location

864 N Allen St
State College, PA 16803-3536

Mailing address

864 N Allen St
State College, PA 16803-3536
Phone (707) 694-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003003600 PA Practitioner - Marriage and Family Therapist 8628574944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ayama Psychotherapy LLCGroup PAC ID 8123309945, 3 clinicians

Practice addresses (Care Compare)

720 Pike St
Lemont, PA 16851-9085
Phone (814) 954-7607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48927CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ayama Psychotherapy LLC CurrentSince Oct 2, 2025 Accepting new patients

Organizations & group practices 1

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1841325925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 N ALLEN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033536",
            "telephone_number": "707-694-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 N ALLEN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033536",
            "telephone_number": "707-694-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "HAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-04-14",
        "deactivation_date": "2018-08-06",
        "reactivation_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.