Lynette Regina Wigfall, EDD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6261 Issued in SC

Practice address

520 Toomerville Loop
Hardeeville, SC 29927-7411

Phone

(843) 816-0404

Fax

(843) 757-7510

NPI assigned

Feb 9, 2017

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1083152086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TOOMERVILLE LOOP",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299277411",
            "telephone_number": "843-816-0404",
            "fax_number": "843-757-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TOOMERVILLE LOOP",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299277411",
            "telephone_number": "843-816-0404",
            "fax_number": "843-757-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGFALL",
        "first_name": "LYNETTE",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6261",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hardeeville, SC
• Providers in Hardeeville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.