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MRS. KATHLEEN A WAGGONER LPC
NPI 1609971886
Counselor - Professional in Farmington, MO

Active since September 13, 2006
400 N WASHINGTON ST STE 111, FARMINGTON, MO 63640(573) 664-1117(573) 664-1117 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathleen A Waggoner Lpc NPPES

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

MRS. KATHLEEN A WAGGONER LPC (NPI 1609971886) is an individual professional provider in Farmington, Missouri, licensed in Missouri (2004014231) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1609971886
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATHLEEN A WAGGONERCredential: LPC
Location Address400 N WASHINGTON ST STE 111Farmington, MO 63640-1731
Mailing AddressRr 2 Box 2335Sedgewickville, MO 63781-9706 · (573) 576-1936 · Fax (573) 664-1117
Phone(573) 664-1117
Fax(573) 664-1117
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1609971886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2004014231
400 N WASHINGTON ST STE 111, Farmington, MO 63640
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Other Identifiers 4

Other738553MO · Healthlink
Other431344414WAGMO · Unity Managed Mental Heal
Other202194MO · Blue Cross Blue Shield
Medicaid499297703MO

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 Kathleen Waggoner's NPI number?

The NPI number for Kathleen Waggoner is 1609971886. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Kathleen Waggoner located?

Kathleen Waggoner practices at 400 N Washington St Ste 111, Farmington, MO 63640. The listed phone number is (573) 664-1117.

What is Kathleen Waggoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kathleen Waggoner was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.