Randall L. Wagner, LPC
NPI 1063558211ActiveIndividual· Counselor, Professional· Madison, WI
Counselor, Professional (LPC) with Dean Health Systems Inc, practicing in Madison, Wisconsin. Medicare paid $5,342 for services to 16 patients in 2024.
Overview
| NPI | 1063558211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jan 29, 2007 |
| Last updated in NPPES | Dec 15, 2020 |
| Certified by provider | Dec 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 3203-125 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 75 across 3 procedure codes |
| Paid by Medicare | $5,342 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Dean Health Systems IncSun Prairie, WI · 1,159 clinicians
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