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ANGEL WAGNER
NPI 1215447032
Counselor in Centralia, IL

Active since October 06, 2017
904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angel Wagner NPPES

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

ANGEL WAGNER (NPI 1215447032) is an individual counselor in Centralia, Illinois and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1215447032
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANGEL WAGNER
Location Address904 E. MARTIN LUTHER KING DRIVECentralia, IL 62801-3058
Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801-3058 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Sole ProprietorNo
Enumeration DateOctober 6, 2017
✔ NPI 1215447032 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.
904 E. MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 17

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

MRS. LOLITA ISAIAH
Counselor (Mental Health)
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
LINDA HANNA
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ADAM BORGES
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ALAYNA MOORE
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
WENDY SUEY
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
JANNA PIERCE
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
KURTISS HASSEBROCK
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
COMMUNITY RESOURCE CENTER INC.
Community/Behavioral Health
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Angel Wagner's NPI number?

The NPI number for Angel Wagner is 1215447032. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Angel Wagner located?

Angel Wagner practices at 904 E. Martin Luther King Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Angel Wagner'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 Angel Wagner was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.