Individual provider Active NPI

Michelle L Wiggins, PSYD

  • Counselor
  • Baton Rouge, LA
National Provider Identifier
1861827438
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
14635 S Harrells Ferry Rd
3A
Baton Rouge, LA 70816-2959
Phone
(225) 751-5412
Fax
(225) 751-5847
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

14635 S Harrells Ferry Rd
3A
Baton Rouge, LA 70816-2959

Mailing address

14635 S Harrells Ferry Rd
3A
Baton Rouge, LA 70816-2959
Phone (225) 751-5412

Other identifiers 1

IdentifierTypeStateIssuer
460671529OtherFEDERAL ID

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

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1861827438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14635 S HARRELLS FERRY RD",
            "address_2": "3A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162959",
            "telephone_number": "225-751-5412",
            "fax_number": "225-751-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14635 S HARRELLS FERRY RD",
            "address_2": "3A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162959",
            "telephone_number": "225-751-5412",
            "fax_number": "225-751-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID",
            "identifier": "460671529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.