Active NPI
Stefanie Waugh, LPC
- Professional Counselor
- Killeen, TX
National Provider Identifier
1467774026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64026
- Practice address
- 1608 E Rancier Ave
Killeen, TX 76541-3736 - Phone
- (254) 519-8803
- NPI assigned
- Feb 24, 2010
- Last updated
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64026 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metroplex Clinic Physicians, Inc. | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.