CAROLLYNE WINGRAVE (NPI# 1023143955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143955 |
| Entity Type | Individual |
| Full Name | CAROLLYNE WINGRAVE |
| Other Name | TAMARA ANN PATAGUE |
| Practice Address |
731 S Lincoln St Santa Maria CA 93458-6107 |
| Mailing Address |
475 Golden West Pl Arroyo Grande CA 93420-3722 |
| Practice Telephone | 8053468185 |
| Practice Fax Number | 8053468656 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
731 S LINCOLN ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538210158 | Susanna Lynn Newman | Counselor | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2007-01-12 |
| 1366059644 | Mia Rae Lopez | Behavior Technician | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2020-09-30 |
| 1518117993 | Bart Stephen Climie | Counselor | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2008-09-23 |
| 1457544116 | Stanley Ivan Thomas | Counselor | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2007-08-24 |
| 1437284387 | Beverly Yvonne Washington | Counselor | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2007-02-22 |
| 1134254022 | Jesus Sanchez Garcia | Counselor | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2007-02-22 |
| 1538202106 | William Thomas Hargadon | Counselor | 731 S Lincoln St, Santa Maria, CA 93458-6107 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994523 | Michelle M Knudsen | Counselor | 412 E Tunnel, Santa Maria, CA 93454-9345 | 2020-05-26 |
| 1891315438 | Jessica Marie Aragonez | Counselor | 521 E Chapel St, Santa Maria, CA 93454-4573 | 2020-04-23 |
| 1346715091 | Lisa Christine Button | Counselor | 245 Inger Dr Ste 103b, Santa Maria, CA 93454-8669 | 2018-10-09 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1518416221 | Eliot Davis | Counselor | 115 E. Fesler St, Santa Maria, CA 93454 | 2016-09-23 |
| 1033564984 | Alexandria Conrad | Counselor | 4229 Fernview St, Santa Maria, CA 93455-3323 | 2016-04-28 |
| 1023483187 | Chanel Carreira | Counselor | 1414 S Miller St Ste 11, Santa Maria, CA 93454-6916 | 2015-12-01 |
| 1518353093 | Eileen Ortiz | Counselor | 245 Inger Dr Ste 103-b, Santa Maria, CA 93454-8669 | 2015-04-10 |
| 1487067922 | Aegis Treatment Centers | Counselor | 2534 Logan Dr, Santa Maria, CA 93455-7443 | 2014-06-03 |
| 1649697913 | John Coates | Counselor | 1723 Adler Ct, Santa Maria, CA 93458-7313 | 2014-03-25 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
Please comment or provide details below to improve the information on CAROLLYNE WINGRAVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.