Individual provider Active NPI

Joshua Lyn Wigget, LPC

  • Mental Health Counselor
  • Loves Park, IL
National Provider Identifier
1548926579
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.017005 Issued in IL
Practice address
7315 N Alpine Rd Ste H
Loves Park, IL 61111-1804
Phone
(815) 540-4237
NPI assigned
Nov 15, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.017005 IL Primary
Professional Counselor 101YP2500X 178.017005 IL

Addresses

Primary practice location

7315 N Alpine Rd Ste H
Loves Park, IL 61111-1804

Mailing address

927 W 6TH St
Belvidere, IL 61008-5401
Phone (815) 712-3587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250605001106 IL Practitioner - Mental Health Counselor 3375052772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jill M Early LLCGroup PAC ID 1850834482, 4 clinicians

Practice addresses (Care Compare)

703 Emmert Dr
Sycamore, IL 60178-2019
Phone (630) 947-4271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.017005ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill M Early LLC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Focused Behavioral Health, LLC Professional PastSince Nov 21, 2021 Accepting new patients

Organizations & group practices 2

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1548926579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 W 6TH ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610085401",
            "telephone_number": "815-712-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 N ALPINE RD STE H",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611111804",
            "telephone_number": "815-540-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGET",
        "first_name": "JOSHUA",
        "middle_name": "LYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.017005",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loves Park, IL

Sources for this page

Verify at the official NPI Registry.