Active NPI
Charlene Rae Wigington, MS, NCC, LPC
- Mental Health Counselor
- Fairhope, AL
National Provider Identifier
1013782085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC05103
- Practice address
- 372 South Greeno Rd.
Fairhope, AL 36532 - Phone
- (251) 928-2871
- NPI assigned
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC05103 | AL | Primary |
Addresses
Primary practice location
372 South Greeno Rd.
Fairhope, AL 36532
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5750 A Southland Dr
Mobile, AL 36693-3316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05103 | AL | MD | Mental Health Counselor |
Networks
- MS PPO
- MS PPO D-SNP
- FL PPO
- MS PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1013782085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750A SOUTHLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933316",
"telephone_number": "251-450-2211",
"fax_number": "251-662-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 SOUTH GREENO RD.",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "36532",
"telephone_number": "251-928-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGINGTON",
"first_name": "CHARLENE",
"middle_name": "RAE",
"credential": "MS, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "LPC05103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.