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RANDY WYNGLASS
NPI 1811346281
Marriage & Family Therapist in Los Angeles, CA

Active since June 07, 2016PECOS Enrolled
2029 CENTURY PARK E, LOS ANGELES, CA 90067(619) 804-9157 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2024, Mar 17, 2018, Jul 1, 2016 (3 updates tracked since 2016).

About Randy Wynglass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY WYNGLASS (NPI 1811346281) is an individual marriage & family therapist in Los Angeles, California, licensed in California (132426) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811346281
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameRANDY WYNGLASS
Location Address2029 CENTURY PARK ELos Angeles, CA 90067-2901
Mailing Address995 Gateway Center Way Ste 300San Diego, CA 92102-4550 · (619) 398-2156
Phone(619) 804-9157
Sole ProprietorNo
Enumeration DateJune 7, 2016
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1811346281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 132426✔ Licensed in CA · AMFT104157
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 132426 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2029 CENTURY PARK E, Los Angeles, CA 90067
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Secondary Practice Locations 2

Location 13132 Jefferson StSan Diego, CA 92110-4421 · Phone (619) 683-3100
Location 2125 W Mission AveEscondido, CA 92025-1720 · Phone (760) 747-3424

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy Wynglass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHTSIDE HEALTH, INC.
Community/Behavioral Health
2029 CENTURY PARK E
LOS ANGELES, CA 90067
Los Angeles County (415) 360-3348
JAYCEE JAMES NON PHYSICIAN
In Home Supportive Care
2029 CENTURY PARK E
LOS ANGELES, CA 90067
Los Angeles County (760) 205-9006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Wynglass's NPI number?

The NPI number for Randy Wynglass is 1811346281. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Randy Wynglass located?

Randy Wynglass practices at 2029 Century Park E, Los Angeles, CA 90067. The listed phone number is (619) 804-9157.

What is Randy Wynglass's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Randy Wynglass enrolled in Medicare?

Yes. Randy Wynglass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Wynglass was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.