Active NPI
Lindsay Wiggins
- Professional Counselor
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1360 Mackey Branch Dr
Chattanooga, TN 37421-3225 - Phone
- (423) 443-3336
- Fax
- (423) 464-7510
- NPI assigned
- Feb 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC011440 | GA | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1360 Mackey Branch Dr
Chattanooga, TN 37421-3225
Mailing address
1360 Mackey Branch Dr
Chattanooga, TN 37421-3225
Phone (423) 443-3336
Other practice location 1
1414 Dug Gap Rd
Dalton, GA 30720-5007
Phone (706) 279-0405
Other practice location 2
1008 Executive Dr Ste 101
Hixson, TN 37343-3992
Phone (423) 443-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011440 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children First LLC | Current | Accepting new patients | |
| Agape Youth Behavioral Health | Current | Accepting new patients |
Locations
1414 Dug Gap Rd
Dalton, GA 30720
Phone (706) 279-0405
1360 Mackey Branch Dr
Chattanooga, TN 37421
Phone (423) 443-3336
1008 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 443-3336
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Child & Adolescent Psychiatry Physician
- Chattanooga, TN
- NPI 1528405925
-
dba Georgia HOPE
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1770627515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1043844392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 MACKEY BRANCH DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213225",
"telephone_number": "423-443-3336",
"fax_number": "423-464-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 MACKEY BRANCH DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213225",
"telephone_number": "423-443-3336",
"fax_number": "423-464-7510"
}
],
"practiceLocations": [
{
"address_1": "1414 Dug Gap Rd",
"address_purpose": "LOCATION",
"city": "Dalton",
"state": "GA",
"postal_code": "307205007",
"country_code": "US",
"telephone_number": "706-279-0405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1008 Executive Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Hixson",
"state": "TN",
"postal_code": "373433992",
"country_code": "US",
"telephone_number": "423-443-3336",
"fax_number": "423-464-7510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC011440",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.