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PHYLISS WAGNER LPCC
NPI 1003325416
Counselor - Addiction (Substance Use Disorder) in Westlake, OH

Active since September 28, 2017PECOS EnrolledAccepts Medicare Assignment
842 CORPORATE WAY STE 850, WESTLAKE, OH 44145(440) 296-2050 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Dec 8, 2023, Mar 12, 2021 (3 updates tracked since 2021).

About Phyliss Wagner Lpcc NPPES

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

PHYLISS WAGNER LPCC (NPI 1003325416) is an individual addiction (substance use disorder) provider in Westlake, Ohio, licensed in Ohio (CDCA.164771) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003325416
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHYLISS WAGNERCredential: LPCC
Location Address842 CORPORATE WAY STE 850Westlake, OH 44145-1537
Mailing Address107 Woodstock DrAvon Lake, OH 44012-1622 · (440) 989-4987 · Fax (440) 296-2050
Phone(440) 296-2050
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 28, 2017
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1003325416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.164771
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.2001993 (OH)
842 CORPORATE WAY STE 850, Westlake, OH 44145
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1107 Woodstock DrAvon Lake, OH 44012-1622 · Phone (440) 296-2050 · Fax (440) 246-0189
Location 224500 Center Ridge Rd Ste 110Westlake, OH 44145-5604 · Phone (440) 522-9810

Other Identifiers 1

OtherCDCA.164771OH · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phyliss Wagner Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153777883
PECOS Enrollment IDI20240307004043
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
137 services18 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAGNER AND ASSOCIATES MENTAL HEALTH SERVICES LLC
Counselor (Professional)
842 CORPORATE WAY STE 850
WESTLAKE, OH 44145
Cuyahoga County (440) 296-2050
ADELLE HARTMAN LSW
Social Worker (Clinical)
842 CORPORATE WAY STE 850
WESTLAKE, OH 44145
Cuyahoga County (440) 296-2050

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 Phyliss Wagner's NPI number?

The NPI number for Phyliss Wagner is 1003325416. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Phyliss Wagner located?

Phyliss Wagner practices at 842 Corporate Way Ste 850, Westlake, OH 44145. The listed phone number is (440) 296-2050.

What is Phyliss Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Phyliss Wagner enrolled in Medicare?

Yes. Phyliss Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Phyliss Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Phyliss Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phyliss Wagner was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.