Active NPI
Kendra Wiggins
- Mental Health Counselor
- Chapel Hill, NC
National Provider Identifier
1548811326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15231
- Practice address
- 1829 E Franklin St
Chapel Hill, NC 27514-5861 - Phone
- (919) 704-8449
- NPI assigned
- Sep 24, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15231 | NC | Primary |
Addresses
Primary practice location
1829 E Franklin St
Chapel Hill, NC 27514-5861
Mailing address
106 Truss Way
Durham, NC 27704-6126
Phone (919) 259-8511
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rwellnessservices.com |
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 |
|---|---|---|---|
| 15231 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ICU Christian Counseling Services | Mental Health | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1548811326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 TRUSS WAY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277046126",
"telephone_number": "919-259-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 E FRANKLIN ST",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145861",
"telephone_number": "919-704-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "KENDRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "15231",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rwellnessservices.com",
"affiliation": "N",
"endpointDescription": "provider website",
"address_1": "1829 E Franklin St",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275145861",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.