Derrick Wagoner, LPCC
NPI 1033529813ActiveIndividual· Counselor, Mental Health· Glasgow, KY
Counselor, Mental Health (LPCC) with Kw Consulting LLC, practicing in Glasgow, Kentucky. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1033529813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | May 2, 2014 |
| Last updated in NPPES | May 12, 2021 |
| Certified by provider | May 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 172294 | KY |
| Counselor, Professional | 101YP2500X | 1839 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (KY) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Kw Consulting LLCBowling Green, KY · 24 clinicians
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