Active NPI
Eugenia Ann Wright-Agard, LMHC INTERN
- Mental Health Counselor
- Kissimmee, FL
National Provider Identifier
1811339070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH 10545
- Practice address
- 16 N Clyde Ave
Kissimmee, FL 34741-5420 - Phone
- (407) 791-1900
- Fax
- (866) 816-8621
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 10545 | FL | Primary |
Addresses
Primary practice location
16 N Clyde Ave
Kissimmee, FL 34741-5420
Mailing address
16 N Clyde Ave
Kissimmee, FL 34741-5420
Phone (407) 791-1900
Other names 1
- Eugenia Ann Wright
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 10545 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1811339070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 N CLYDE AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415420",
"telephone_number": "407-791-1900",
"fax_number": "866-816-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 N CLYDE AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415420",
"telephone_number": "407-791-1900",
"fax_number": "866-816-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT-AGARD",
"first_name": "EUGENIA",
"middle_name": "ANN",
"credential": "LMHC INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 10545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENIA",
"last_name": "WRIGHT",
"middle_name": "ANN",
"credential": "LMHC INTERN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.