Individual provider Active NPI

McKenna Wiggins, LPC

  • Mental Health Counselor
  • Canton, TX
National Provider Identifier
1316677669
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84265 Issued in TX
Practice address
575 W State Highway 243
Canton, TX 75103-2113
Phone
(903) 597-1351
Fax
(903) 535-7384
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 84265 TX Primary

Addresses

Primary practice location

575 W State Highway 243
Canton, TX 75103-2113

Mailing address

2323 W Front St
Tyler, TX 75702-7747
Phone (903) 535-7355

Other practice location 1

1174 E Lennon Dr Ste C
Emory, TX 75440-3255
Phone (903) 473-2671

Other practice location 2

6901 State Highway 19 S
Athens, TX 75751-9119
Phone (903) 675-8541

Other practice location 3

2323 W Front St
Tyler, TX 75702-7747
Phone (903) 597-1351

Other practice location 4

703 W Patten St
Mineola, TX 75773-1541
Phone (903) 569-5409

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mwiggins@andrewscenter.com Direct
Direct Messaging Address MWIGGINS@ANDREWSCENTER.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618000363 TX Practitioner - Mental Health Counselor 5294278396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrews CenterGroup PAC ID 9739170770, 23 clinicians

Practice addresses (Care Compare)

575 W State Hwy 243
Canton, TX 75103-2113
Phone (903) 597-1351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84265TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Center - Elliott St CurrentSince Mar 29, 2024 Accepting new patients
Andrews Center Mental Health Current Accepting new patients
Andrews Center -Pinkerton CurrentSince Mar 29, 2024 Accepting new patients
Andrews Center - Mr Past Accepting new patients

Locations

6901 State Highway 19 S
Athens, TX 75751
Phone (903) 675-8541

575 W State Highway 243
Canton, TX 75103
Phone (903) 567-4197

1738 Elliot Dr
Canton, TX 75103
Phone (903) 597-5067

1174 E Lennon Dr
Ste C
Emory, TX 75440
Phone (903) 473-2652

703 W Patten St
Mineola, TX 75773
Phone (903) 569-5409

1722 W Front St
Tyler, TX 75702
Phone (903) 593-4004

2323 W Front St
Tyler, TX 75702
Phone (903) 535-7355

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1316677669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027747",
            "telephone_number": "903-535-7355",
            "fax_number": "903-535-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W STATE HIGHWAY 243",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751032113",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 E Lennon Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Emory",
            "state": "TX",
            "postal_code": "754403255",
            "country_code": "US",
            "telephone_number": "903-473-2671",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 State Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757519119",
            "country_code": "US",
            "telephone_number": "903-675-8541",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 W Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027747",
            "country_code": "US",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 W Patten St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "TX",
            "postal_code": "757731541",
            "country_code": "US",
            "telephone_number": "903-569-5409",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "MCKENNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwiggins@andrewscenter.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work email",
            "address_1": "575 W State Highway 243",
            "city": "Canton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751032113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MWIGGINS@ANDREWSCENTER.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WORK EMAIL",
            "address_1": "575 W State Highway 243",
            "city": "Canton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751032113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

Verify at the official NPI Registry.