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MR. BRIAN WAGGONER LAC, NCC
NPI 1376305409
Counselor - Mental Health in Rogers, AR

Active since January 24, 2024
5310 W VILLAGE PKWY STE 4, ROGERS, AR 72758(479) 435-8388 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brian Waggoner Lac, Ncc NPPES

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

MR. BRIAN WAGGONER LAC, NCC (NPI 1376305409) is an individual mental health provider in Rogers, Arkansas, licensed in Arkansas (A2401024) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1376305409
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRIAN WAGGONERCredential: LAC, NCC
Location Address5310 W VILLAGE PKWY STE 4Rogers, AR 72758-8201
Mailing Address19369 Neills Bluff RdSpringdale, AR 72764-8503 · (630) 740-7705
Phone(479) 435-8388
Sole ProprietorNo
Enumeration DateJanuary 24, 2024
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1376305409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2401024
5310 W VILLAGE PKWY STE 4, Rogers, AR 72758
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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.

ODYSSEY THERAPY NWA, LLC
Counselor (Mental Health)
5310 W VILLAGE PKWY STE 4
ROGERS, AR 72758
Benton County (479) 222-0688
EPOCH COUNSELING & CONSULTING, PLLC
Counselor (Professional)
5310 W VILLAGE PKWY STE 4
ROGERS, AR 72758
Benton County (501) 428-0935
MARIN HALEY NELSON LAC
Counselor
5310 W VILLAGE PKWY STE 4
ROGERS, AR 72758
Benton County (479) 222-0638
LINDSEY HART LAC
Counselor (Mental Health)
5310 W VILLAGE PKWY STE 4
ROGERS, AR 72758
Benton County (479) 222-0688
AMANDA M STEVENSON
Counselor (Professional)
5310 W VILLAGE PKWY STE 4
ROGERS, AR 72758
Benton County (479) 222-0688

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 Brian Waggoner's NPI number?

The NPI number for Brian Waggoner is 1376305409. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Brian Waggoner located?

Brian Waggoner practices at 5310 W Village Pkwy Ste 4, Rogers, AR 72758. The listed phone number is (479) 435-8388.

What is Brian Waggoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brian Waggoner was last updated on January 26, 2024. 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.