Donita Renee Waggoner, M. ED. LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YP2500X Issued in OK

Practice address

1625 W Owen K Garriott Rd
Suite F
Enid, OK 73703-5653

Phone

(580) 747-8574

Fax

(580) 233-6932

NPI assigned

Jun 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Homecare Advisors LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durant, OK
  • NPI 1689152894
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244851200000",
    "number": "1841427184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W OWEN K GARRIOTT RD",
            "address_2": "SUITE F",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035653",
            "telephone_number": "580-747-8574",
            "fax_number": "580-233-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W OWEN K GARRIOTT RD",
            "address_2": "SUITE F",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035653",
            "telephone_number": "580-747-8574",
            "fax_number": "580-233-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "DONITA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M. ED. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "101YP2500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viki White
• Diane Jean Vinson, LCSW
• Vitacare, LLC
• W D Diehl OD Inc
• Douglas James Wade, LMFT
• Linda Leigh Waggoner
• Nancy Waggoner
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Carolina Wales, D. O.

• Mental Health Counselor in Enid, OK
• Providers in Enid, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; 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.