Kenneth Wiggs, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005024468 Issued in MO

Practice address

3050 S National Ave
Suite 104
Springfield, MO 65804-4242

Phone

(417) 597-4572

Fax

(417) 882-1507

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Compass Counseling Services, LLC

  • Professional Counselor
  • Springfield, MO
  • NPI 1194042002
  NPD
• Compass Counselling Services

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1093091514
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1750423562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "417-597-4572",
            "fax_number": "417-882-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "417-597-4572",
            "fax_number": "417-882-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGS",
        "first_name": "KENNETH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005024468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497430306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wiegold
• Brandon J Wiese, DO
• Courtney Gray Wiese, M.D.
• Philipp Alexander Wiesner, M.D.
• Stanley D. Wiggins, MD
• Heather Wike, NP
• Christopher R Wilbers, MD
• Clarissa Wilburn
• Madelyn Wilcox, RD, CSO
• Edwina Wilder, LPC

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.