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MATTHEW F. WAGNER LPC
NPI 1174973432
Counselor in State College, PA

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment
1951 PINE HALL RD STE 225, STATE COLLEGE, PA 16801(814) 237-0001(814) 237-0116 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew F. Wagner Lpc NPPES

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

MATTHEW F. WAGNER LPC (NPI 1174973432) is an individual counselor in State College, Pennsylvania, licensed in Pennsylvania (PC019200) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174973432
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW F. WAGNERCredential: LPC
Location Address1951 PINE HALL RD STE 225State College, PA 16801-5107
Mailing Address1951 Pine Hall Rd Ste 225State College, PA 16801-5107 · (814) 237-0001 · Fax (814) 237-0116
Phone(814) 237-0001
Fax(814) 237-0116
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 17, 2016
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1174973432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in PA · PC019200
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.
1951 PINE HALL RD STE 225, State College, PA 16801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew F. 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 ID5890283527
PECOS Enrollment IDI20251023002374
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oasis Lifecare LLC
1.9 mi
Psychiatry
1520 MARTIN ST
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1013398130 (814) 883-9949

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

KEVIN MICHAEL PENO PA-C
Physician Assistant
1951 PINE HALL RD STE 225
STATE COLLEGE, PA 16801
Centre County (814) 237-0001
MEAGAN EARNEST LCSW
Social Worker (Clinical)
1951 PINE HALL RD STE 225
STATE COLLEGE, PA 16801
Centre County (814) 237-0001
ILENE J VANGILDER LCSW
Social Worker
1951 PINE HALL RD STE 225
STATE COLLEGE, PA 16801
Centre County (814) 237-0001
ERIN C CROWN PA-C
Physician Assistant
1951 PINE HALL RD STE 225
STATE COLLEGE, PA 16801
Centre County (814) 237-0001
MICHAEL EDWARD MALONEY PHD POSTDOCTORAL RES
Student in an Organized Health Care Education/Training Program
1951 PINE HALL RD STE 225
STATE COLLEGE, PA 16801
Centre County (814) 237-0001

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 Matthew Wagner's NPI number?

The NPI number for Matthew Wagner is 1174973432. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Matthew Wagner located?

Matthew Wagner practices at 1951 Pine Hall Rd Ste 225, State College, PA 16801. The listed phone number is (814) 237-0001.

What is Matthew Wagner's specialty?

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

Is Matthew Wagner enrolled in Medicare?

Yes. Matthew 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.

Which organization bills Medicare for Matthew Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wagner reassigns Medicare benefits to Oasis Lifecare LLC (State College, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Wagner was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.