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GARY WAGONER
NPI 1144327610
Counselor in Greenup, KY

Active since September 19, 2006
57 DORA LANE, GREENUP, KY 41144(606) 473-7333(606) 473-7335 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Wagoner NPPES

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

GARY WAGONER (NPI 1144327610) is an individual counselor in Greenup, Kentucky and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1144327610
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameGARY WAGONER
Location Address57 DORA LANEGreenup, KY 41144
Mailing AddressP.o. Box 790Ashland, KY 41105-0790 · (606) 329-8588 · Fax (606) 329-8195
Phone(606) 473-7333
Fax(606) 473-7335
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144327610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
57 DORA LANE, Greenup, KY 41144
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Other Identifiers 1

Medicaid30610026KY

Other Providers at the Same Location NPPES

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

MISTY LYNN WALTER LCSW
Social Worker (Clinical)
57 DORA LANE
GREENUP, KY 41144
Greenup County (606) 473-7333

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 Gary Wagoner's NPI number?

The NPI number for Gary Wagoner is 1144327610. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Gary Wagoner located?

Gary Wagoner practices at 57 Dora Lane, Greenup, KY 41144. The listed phone number is (606) 473-7333.

What is Gary Wagoner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Gary Wagoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.