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

Q: 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.

Q: What is Matthew Wagner's specialty?

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

Q: 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 11 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 4

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

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.

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 11 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.