Active NPI
Jennifer Marie Wiggins, LPC
- Professional Counselor
- San Diego, CA
National Provider Identifier
1396437315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC15260
- Practice address
- 438 Camino del Rio S Ste 106
San Diego, CA 92108-3546 - Phone
- (855) 550-6463
- NPI assigned
- May 26, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC15260 | DC | Primary |
Addresses
Primary practice location
438 Camino del Rio S Ste 106
San Diego, CA 92108-3546
Mailing address
901 Hillside Lake Ter Apt 613
Gaithersburg, MD 20878-5241
Phone (267) 206-2262
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 |
|---|---|---|---|
| PRC15260 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1396437315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 HILLSIDE LAKE TER APT 613",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785241",
"telephone_number": "267-206-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 CAMINO DEL RIO S STE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083546",
"telephone_number": "855-550-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC15260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.