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Active NPI 1114009453 Individual Practitioner Male Practitioner

Dr. David Wiggins , LPC, PhD

Counselor - Professional • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Dr. David Wiggins, LPC, PhD is a registered healthcare professional specializing in Counselor - Professional in Roanoke, VA. Practice services are available at 4656 BRAMBLETON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4656 Brambleton Ave

Roanoke, VA 240183437

Telephone 5407728043
Fax 5407728242
Associated Practice Facility / Clinic
🏢 Ruth S. Fielder Facility NPI 1699947606

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
245 Specialists

Practicing in Roanoke, VA (6609 Statewide)

Telehealth Adoption Rate
4.1% 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 VA 0701002026

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem Bcbs
259615 (VA)
Commercial Insurance / Payer ID Value Options
031113 (VA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bethany Lee , LPC

Counselor - Professional

NPI 1003426800

Licensed Professional Counselor

Kevin Cundiff , LMFT

Marriage & Family Therapist

NPI 1013433531

Licensed Marriage and Family Therapist

Amy Elliott , LPC, LMFT

Counselor - Professional

NPI 1013929033

Licensed Professional Counselor, Licensed Marriage and Family Therapist

Dr. Jillian Shillaber , LCP, PhD

Psychologist - Clinical

NPI 1063831279

LCP, Doctor of Philosophy (Ph.D.)

Mary Willis , LPC

Counselor - Professional

NPI 1083700652

Licensed Professional Counselor

Marcia Jaudon , LCSW

Social Worker - Clinical

NPI 1154305381

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4656 BRAMBLETON AVE, ROANOKE, VA 240183437 (Tel: 5407728043)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6031 CHAGALL DR, ROANOKE, VA 240185289 (Tel: 5407722995)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID WIGGINS, LPC, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #0701002026 in VA)

🟢
Initial NPI Registration & Enumeration October 19, 2006

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: 1114009453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

6031 Chagall Dr

Roanoke, VA 240185289

Phone: 5407722995

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.