Jennifer Wagner, LPC, LCDC
NPI 1508392135ActiveIndividual· Counselor, Professional· Atlanta, TX
Counselor, Professional (LPC, LCDC) in Atlanta, Texas, licensed in TX, with an NPI issued in May 2017. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1508392135 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, LCDC |
| Sole proprietor | Yes |
| NPI issued | May 2, 2017 |
| Last updated in NPPES | Aug 3, 2020 |
| Certified by provider | Aug 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 78248 | TX |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 13846 | TX |
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 (TX) |
|---|
Other professional counselors in Atlanta
- 1376474734
- 1417931924
- 1760246854
- 1033102603
- 1588039671
- 1629348982
- 1841629581
- 1710409230
- 1194251074