Evette Cherrel Wigginton, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

16461 Issued in TX

Practice address

1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131

Phone

(361) 884-2242

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amistad Community Health Center IncorporatedGroup PAC ID 8527131036, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: allison.hall@bachc.eclinicaldirectplus.com

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.

• Amistad Community Health Center Incorporated

  dba Amistad Health

  • Federally Qualified Health Center (FQHC)
  • Corpus Christi, TX
  • NPI 1386770147
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1730652330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 CURTIS CLARK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114626",
            "telephone_number": "361-442-6932",
            "fax_number": "512-291-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-884-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINTON",
        "first_name": "EVETTE",
        "middle_name": "CHERREL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13870",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC",
            "identifier": "13870",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "16461",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen M Widrick, PA
• Jamie Michele Wiedemann
• Lidia Elyse Wiedower, RN BSN MS LPC
• Theresa E Wiese, LVN
• Kathryn Denise Wiesman, M.D.
• Cherity Ann Wiginton, RN
• Thomas Wilczynski, D.O.
• Jessica Wilfong, NP
• Elaina Wilkins, PHARMD
• Jordan L Wilkins

• Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.