Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750423562 Individual Practitioner Male Practitioner

Kenneth Wiggs , MA

Counselor - Professional • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Kenneth Wiggs, MA is a registered healthcare professional specializing in Counselor - Professional in Springfield, MO. Practice services are available at 3050 S NATIONAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3050 S National Ave
Suite 104

Springfield, MO 658044242

Telephone 4175974572
Fax 4178821507
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
664 Specialists

Practicing in Springfield, MO (5929 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2005024468

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
497430306 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ashley Wallace , MS, PLPC

Counselor - Professional

NPI 1033532452

Master of Science, PLPC

Mary Andrzejewski

Case Manager/Care Coordinator

NPI 1033581145
Jenna Kadolph

Community Health Worker

NPI 1053788653
Nikolaus Johnson

Counselor - Professional

NPI 1134508575
Jahna Golly

Counselor - Mental Health

NPI 1134523038
Debra Mills

Case Manager/Care Coordinator

NPI 1134538994

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2016

Registered at 3050 S NATIONAL AVE, SUITE 104, SPRINGFIELD, MO 658044242 (Tel: 4175974572)

📍
Updated Business Mailing Address August 16, 2016

Registered at 3050 S NATIONAL AVE, SUITE 104, SPRINGFIELD, MO 658044242 (Tel: 4175974572)

👤
Provider Name / Credentials Updated August 16, 2016

Recorded as KENNETH WIGGS, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Counselor (License #2005024468 in MO)

🟢
Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750423562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: August 16, 2016
Sole Proprietor: No

Mailing Address

3050 S National Ave, Suite 104

Springfield, MO 658044242

Phone: 4175974572

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.