Active NPI
Michael D Wiggins, LPC
- Professional Counselor
- Jasper, AL
National Provider Identifier
1417280256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2759
- Practice address
- 1100 7TH Ave
Jasper, AL 35501-4377 - Phone
- (205) 302-9000
- Fax
- (205) 302-9002
- NPI assigned
- Sep 11, 2009
- Sex
- Male
- 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 | 2759 | AL | Primary |
Addresses
Primary practice location
1100 7TH Ave
Jasper, AL 35501-4377
Mailing address
1100 7TH Ave
Jasper, AL 35501-4377
Phone (205) 302-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108000400 | AL | Practitioner - Mental Health Counselor | 5799136404 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mental Health BD of Bibb Pickens and Tuscaloosa Counties
Practice addresses (Care Compare)
3500 Skyland Blvd E
Tuscaloosa, AL 35405-4558
Phone (205) 391-3131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2759 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health BD of Bibb Pickens and Tuscaloosa Counties | Current | Accepting new patients |
Locations
890 Reform St
Carrollton, AL 35447
Phone (205) 367-8031
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tuscaloosa, AL
- NPI 1659313393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1417280256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 7TH AVE",
"city": "JASPER",
"state": "AL",
"postal_code": "355014377",
"telephone_number": "205-302-9000",
"fax_number": "205-302-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 7TH AVE",
"city": "JASPER",
"state": "AL",
"postal_code": "355014377",
"telephone_number": "205-302-9000",
"fax_number": "205-302-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.