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JAMIE R WAGNER LCPC, LPC, RPT-S
NPI 1073557229
Counselor - Professional in Roscoe, IL

Active since June 16, 2006
11447 2ND ST, SUITE 9B, ROSCOE, IL 61073(815) 601-4673(866) 303-8062 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2023, Nov 1, 2023 (2 updates tracked since 2023).

About Jamie R Wagner Lcpc, Lpc, Rpt-s NPPES

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

JAMIE R WAGNER LCPC, LPC, RPT-S (NPI 1073557229) is an individual professional provider in Roscoe, Illinois, licensed in Illinois (180033993) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073557229
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAMIE R WAGNERCredential: LCPC, LPC, RPT-S
Location Address11447 2ND ST, SUITE 9BRoscoe, IL 61073-9522
Mailing Address3705 Tanglewood PlJanesville, WI 53546-7800 · (608) 290-6705 · Fax (866) 303-8062
Phone(815) 601-4673
Fax(866) 303-8062
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1073557229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180033993✔ Licensed in WI · 3206-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3206-125 (WI)
11447 2ND ST, Roscoe, IL 61073
Open in Google Maps ↗

Other Names 1

Former Name (1)Jamie R Redders Lcpc, Lpc, Rpt-s

Other Identifiers 4

Other14270WI · Dean Insurance
Other180033993IL · Licenced Clin. Prof. Coun
Other3206-125WI · Lpc
Medicaid41000700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

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

SREEKA BHARANI CRC, LPC
Counselor (Mental Health)
11447 2ND ST
ROSCOE, IL 61073
Winnebago County (815) 623-2020
MS. VICKI ELIZABETH MARCUM LCSW
Social Worker (Clinical)
11447 2ND ST, 9B
ROSCOE, IL 61073
Winnebago County (815) 997-3225
MS. MICHELLE L PETTY MS, LCPC, NCC
Counselor (Professional)
11447 2ND ST
ROSCOE, IL 61073
Winnebago County (815) 979-1085
KATELYN LEWIS
Social Worker
11447 2ND ST
ROSCOE, IL 61073
Winnebago County (815) 601-4673
AMANDA ELAINE VANLANEN LMSW
Social Worker (Clinical)
11447 2ND ST
ROSCOE, IL 61073
Winnebago County (815) 601-4673
MAURIE STEINLEY PC
Physical Therapist
11447 2ND ST
ROSCOE, IL 61073
Winnebago County (815) 270-8956
JASMIN WEGER RN
Registered Nurse
11447 2ND ST, SUITE 90
ROSCOE, IL 61073
Winnebago County (815) 601-4673

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 Jamie Wagner's NPI number?

The NPI number for Jamie Wagner is 1073557229. It was assigned to this individual provider in the NPPES registry on June 16, 2006. The provider is also known as Jamie R Redders Lcpc, Lpc, Rpt-S.

Where is Jamie Wagner located?

Jamie Wagner practices at 11447 2nd St Suite 9B, Roscoe, IL 61073. The listed phone number is (815) 601-4673.

What is Jamie Wagner's specialty?

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

What insurance does Jamie Wagner accept?

Health plans from MercyCare Health Plans and Providence Health Plan list Jamie 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 Jamie Wagner was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.