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MR. RANDALL L WAGNER LPC
NPI 1063558211
Counselor - Professional in Madison, WI

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6376 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2020, Sep 12, 2019 (2 updates tracked since 2019).

About Mr. Randall L Wagner Lpc NPPES

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

MR. RANDALL L WAGNER LPC (NPI 1063558211) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (3203-125) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1063558211
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RANDALL L WAGNERCredential: LPC
Location Address1821 S STOUGHTON RDMadison, WI 53716-2257
Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6376
Phone(608) 260-6000
Fax(608) 260-6376
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 29, 2007
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1063558211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 3203-125
1821 S STOUGHTON RD, Madison, WI 53716
Open in Google Maps ↗

Other Identifiers 1

Medicaid1063558211WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mr. Randall L Wagner Lpc 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 ID2062865892
PECOS Enrollment IDI20240129002502
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, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
43 services15 patients
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.
28 services13 patients

Other Providers at the Same Location NPPES 20

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

NATHAN JUNG M.D.
Urology
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (608) 260-6000
YINGYU GAO MD
Allergy & Immunology
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (608) 260-6000
MARIA Z DIN DO
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (608) 260-6000
MS. JESSICA POIRIER
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (608) 260-6000
RACHAEL SHANGRAW
Dietitian, Registered
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (309) 242-5548
ROSA A GILESTRA MD
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (608) 260-6000
TRACY L TODOROVIC SLP
Speech-Language Pathologist
1821 S STOUGHTON RD
MADISON, WI 53716
Dane County (608) 260-6000
MILTON H JOHNSON MD
Emergency Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Dane County (308) 260-6000

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 Randall Wagner's NPI number?

The NPI number for Randall Wagner is 1063558211. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Randall Wagner located?

Randall Wagner practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.

What is Randall Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Randall Wagner enrolled in Medicare?

Yes. Randall 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 Randall Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield list Randall 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 Randall Wagner was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.