Vernon Archie Wiggins III, BCBA, LPC, LBA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61560733 Issued in WA

Practice address

11035 Forest GLN
Beaumont, TX 77713-9003

Phone

(210) 323-3153

NPI assigned

May 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richard L Shorkey Education & Rehabilitation Center

  • Physical Therapist
  • Beaumont, TX
  • NPI 1053497677

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1629505573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 FOREST GLN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139003",
            "telephone_number": "210-323-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 FOREST GLN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139003",
            "telephone_number": "210-323-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "VERNON",
        "middle_name": "ARCHIE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BCBA, LPC, LBA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79828",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1479",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-14-17593",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT034888",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61560733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "101YM0800X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Jill Whiteside, LPC
• Kerri Whitman
• Katie Jo Whitt
• Whole Woman'S Health of Beaumont, LP
• Keith Arnold Wied, D.O.
• Howard D. Wilcox, M.D.
• Kenneth D. Wilgers, M.D.
• Stacy Wilhelm
• Diane R Wilhite, PH.D.
• Megan Willette

• Mental Health Counselor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.