EBONY DECHELLE WIGGINS
NPI 1124849971
Peer Specialist in Salem, OR

Active since October 23, 2024
681 COTTAGE ST NE, SALEM, OR 97301(336) 314-7105 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebony Dechelle Wiggins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY DECHELLE WIGGINS (NPI 1124849971) is an individual peer specialist in Salem, Oregon and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1124849971
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameEBONY DECHELLE WIGGINS
Location Address681 COTTAGE ST NESalem, OR 97301-2419
Mailing Address681 Cottage St NeSalem, OR 97301-2419 · (336) 314-7105
Sole ProprietorYes
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1124849971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
681 COTTAGE ST NE, Salem, OR 97301

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
681 COTTAGE ST NE
SALEM, OR 97301
Clinic/Center (Rehabilitation, Substance Use Disorder)
681 COTTAGE ST NE
SALEM, OR 97301
Peer Specialist
681 COTTAGE ST NE
SALEM, OR 97301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Wiggins's NPI number?

The NPI number for Ebony Wiggins is 1124849971. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Ebony Wiggins located?

Ebony Wiggins practices at 681 Cottage St NE, Salem, OR 97301. The listed phone number is (336) 314-7105.

What is Ebony Wiggins's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ebony Wiggins was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.