Individual provider Active NPI

Stefanie Waugh, LPC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1467774026
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64026 Issued in TX
Practice address
1608 E Rancier Ave
Killeen, TX 76541-3736
Phone
(254) 519-8803
NPI assigned
Feb 24, 2010
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64026 TX Primary

Addresses

Primary practice location

1608 E Rancier Ave
Killeen, TX 76541-3736

Mailing address

1527 Sandstone Loop
Temple, TX 76502-7973
Phone (254) 760-3646

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
I20241217000815 TX Practitioner - Mental Health Counselor 4880078138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64026TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Clinic Physicians, Inc. Professional CurrentSince Oct 12, 2024 Accepting new patients

Locations

1608 E Rancier Ave
Killeen, TX 76541
Phone (254) 519-8803

2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1467774026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 SANDSTONE LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027973",
            "telephone_number": "254-760-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 E RANCIER AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765413736",
            "telephone_number": "254-519-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "STEFANIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.