Organization Active NPI

Kasey Wiggam LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
National Provider Identifier
1679289086
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KASEY WIGGAM LLC
Practice address
467 Arbor Dr
Carmel, IN 46032-5849
Phone
(317) 447-4788
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Kasey Wiggam, LCSWNPI 1295493492
Title
Owner
Phone
(317) 447-4788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

467 Arbor Dr
Carmel, IN 46032-5849

Mailing address

467 Arbor Dr
Carmel, IN 46032-5849
Phone (317) 447-4788

Other identifiers 1

IdentifierTypeStateIssuer
1295493492OtherINNPPES

Other names 1

  • Rosemeade Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1679289086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ARBOR DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325849",
            "telephone_number": "317-447-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 ARBOR DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325849",
            "telephone_number": "317-447-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASEY WIGGAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "WIGGAM",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-447-4788",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1295493492",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosemeade Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.