Active NPI
Kathy Machelle Wiggins
- Behavior Technician
- Phoenix, AZ
National Provider Identifier
1568023042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 314 E Thomas Rd
Phoenix, AZ 85012-3202 - Phone
- (336) 314-7105
- Fax
- (803) 753-9196
- NPI assigned
- Jun 25, 2019
- Last updated
- Oct 23, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
314 E Thomas Rd
Phoenix, AZ 85012-3202
Mailing address
314 E Thomas Rd
Phoenix, AZ 85012-3202
Phone (336) 314-7105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kathywigginstbhs1@gmail.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care 4 U LLC | Home Health Aide | Current | Accepting new patients |
| Core Health Services, Inc | Current | Accepting new patients | |
| Truth Behavioral Health Services, LLC | Past | Accepting new patients | |
| Innervision Health Services, Inc | Past | Accepting new patients |
Locations
314 E Thomas Rd
Phoenix, AZ 85012
Phone (240) 353-7332
100 Stone Village Dr
Ste 212
Fort Mill, SC 29708
Phone (803) 741-5840
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Phoenix, AZ
- NPI 1861128613
-
- Home Health Aide
- Fort Mill, SC
- NPI 1679119671
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Salem, OR
- NPI 1548022601
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Mill, SC
- NPI 1528428851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1568023042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123202",
"telephone_number": "336-314-7105",
"fax_number": "803-753-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123202",
"telephone_number": "336-314-7105",
"fax_number": "803-753-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "KATHY",
"middle_name": "MACHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kathywigginstbhs1@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "docx",
"address_1": "100 Stone Village Dr Ste 212",
"city": "Fort Mill",
"state": "SC",
"country_code": "US",
"postal_code": "297086589",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.