Wise Wings Family Counseling Incorporated

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WISE WINGS FAMILY COUNSELING INCORPORATED

Practice address

141 Duesenberg Dr Ste 15C
Westlake Village, CA 91362-3478

Phone

(805) 390-4908

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Christina Gentry, LMFTNPI 1265815708

Title

Owner/Manager

Phone

(805) 428-4722

Specialties & licenses 1

Addresses

Other names 1

• Wise Wings Counseling LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Gentry, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
  • NPI 1265815708
  NPD Authorized official

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1972117133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 250",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913629507",
            "telephone_number": "805-390-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DUESENBERG DR STE 15C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623478",
            "telephone_number": "805-390-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30700 Russell Ranch Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913629507",
            "country_code": "US",
            "telephone_number": "805-651-3986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE WINGS FAMILY COUNSELING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "805-428-4722",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Wings Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tashnee Amanda Willis, DPT
• Megan Winer
• Craig Winkelman, DDS
• Jason Aaron Winston, M.D.
• Julie Winzelberg
• Glendene Wolf, AMFT/APCC
• Erica Brooke Wolfish, MD
• Sara Wolfson
• Marcia Lynn Wong, LCSW
• Shawn Wood

• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.