IndividualActive
Kathleen Waggoner, LPC
NPI 1609971886 · Professional Counselor · Farmington, MO
Provider details
- NPI number
- 1609971886
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2004014231 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 N Washington St Ste 111
Farmington, MO 63640-1731
Phone: (573) 664-1117
Fax: (573) 664-1117
Street-level locationGet directions
Mailing address
Rr 2 Box 2335
Sedgewickville, MO 63781-9706
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2019-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.