ELIZABETH SUMMER WIGLE
NPI 1376013680
Counselor - Mental Health in South Daytona, FL

Q: What is Elizabeth Wigle's NPI number?

The NPI number for Elizabeth Wigle is 1376013680. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Q: What is Elizabeth Wigle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Wigle was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 29, 2018PECOS EnrolledAccepts Medicare Assignment

2400 S RIDGEWOOD AVE STE 32, SOUTH DAYTONA, FL 32119(347) 362-9548 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Nov 29, 2018 (2 updates tracked since 2018).

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About Elizabeth Summer Wigle NPPES

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

ELIZABETH SUMMER WIGLE (NPI 1376013680) is an individual mental health provider in South Daytona, Florida, licensed in Florida (MH19802) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376013680

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELIZABETH SUMMER WIGLE

Location Address2400 S RIDGEWOOD AVE STE 32South Daytona, FL 32119-3073

Mailing Address44 Bluebird LnOrmond Beach, FL 32174-4203 · (347) 362-9548

Phone(347) 362-9548

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 29, 2018

Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1376013680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH19802

2400 S RIDGEWOOD AVE STE 32, South Daytona, FL 32119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Summer Wigle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759721418

PECOS Enrollment IDI20240429000283

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

99 services13 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

15 services15 patients

Other Providers at the Same Location NPPES 11

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

TERRI LASHELL BAILEY

Counselor (Mental Health)