Amanda Nicole Wiggins, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LGM830 Issued in MD

Practice address

1835 Forest Dr
Annapolis, MD 21401-4432

Phone

(410) 541-6473

NPI assigned

Jan 20, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not 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.

• Chesapeake Family Therapy and Counseling , LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
  • NPI 1295613602
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1992457048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WHITE TAIL DEER CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095751",
            "telephone_number": "410-940-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 FOREST DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014432",
            "telephone_number": "410-541-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Home Health, LLC
• Erin Wical, LCPC
• Cameron Reese Wiedel, BEHAVIOR TECHNICIAN
• Amanda Marie Divita Wiemken, PSY.D.
• Lori Wiener, LCSW-C, PHD
• Kenneth Wijesinghe, LMT
• Valerie Kristine Wilder, PHD
• Wildman Optics Inc
• Judith Ann Wildner, M.S., CCC-SLP
• Allyson Wiley

• Marriage & Family Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.