Organization Active NPI

Spread Your Wings

  • Community/Behavioral Health Agency
  • Chester, VA
National Provider Identifier
1992239693
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPREAD YOUR WINGS
Practice address
2430 Southland Drive
Chester, VA 23831-2354
Phone
(804) 528-4331
Fax
(804) 222-3232
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Pippi M Wingfield, MSW, LCSWNPI 1619730165
Title
Owner/Ceo
Phone
(804) 350-5336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X VA Primary

Addresses

Primary practice location

2430 Southland Drive
Chester, VA 23831-2354

Mailing address

2430 Southland Drive
Chester, VA 23831-2354
Phone (804) 528-4331

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2341907Spread Your Wings Supportive Counseling2430 Southland Drive, Chester, VA 23831Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

2430 Southland Dr
Chester, VA 23831
Phone (804) 528-4331

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1992239693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 SOUTHLAND DRIVE",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312354",
            "telephone_number": "804-528-4331",
            "fax_number": "804-222-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 SOUTHLAND DRIVE",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312354",
            "telephone_number": "804-528-4331",
            "fax_number": "804-222-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPREAD YOUR WINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "PIPPI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "804-350-5336",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.