Individual provider Active NPI

Eugenia Ann Wright-Agard, LMHC INTERN

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1811339070
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 10545 Issued in FL
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

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
IMH 10545FLMDMental 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.

Verify at the official NPI Registry.