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COURTNEY ELISE WAGONER MA, LCMHC
NPI 1437441862
Counselor - Professional in Concord, NC

Active since May 04, 2011PECOS Enrolled
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025(704) 939-1100(704) 939-1173 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2018, Nov 6, 2017 (2 updates tracked since 2017).

About Courtney Elise Wagoner Ma, Lcmhc NPPES

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

COURTNEY ELISE WAGONER MA, LCMHC (NPI 1437441862) is an individual professional provider in Concord, North Carolina, licensed in North Carolina (13376) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carlisle.

NPPES Registry Identity

NPI1437441862
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY ELISE WAGONERCredential: MA, LCMHC
Location Address284 EXECUTIVE PARK DR STE 100Concord, NC 28025-1833
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 939-1100
Fax(704) 939-1173
Sole ProprietorNo
Enumeration DateMay 4, 2011
Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1437441862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 13376
Also ListedBehavior AnalystTaxonomy 103K00000X · License BH001834 (PA)
284 EXECUTIVE PARK DR STE 100, Concord, NC 28025
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Secondary Practice Location 1

Location 11325 N West St, Suite 6Carlisle, PA 17013-1447 · Phone (717) 386-5237 · Fax (717) 386-5243

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Elise Wagoner Ma, Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Courtney Wagoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Daymark Recovery Services, Inc.
Same address
Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
NPI 1558329243 (704) 939-1100

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 20

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

LAURA PRESSLEY
Counselor (Addiction (Substance Use Disorder))
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
TALIA LYNTASHA ROACH MSW,LCSWA
Social Worker (Clinical)
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
CONSTANCE LASHAY HOLMES LCSWA
Social Worker (Clinical)
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
NATALIE CLEVINGER
Counselor (Professional)
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
CLAIRCINE E JEAN-CLAUDE DNP
Nurse Practitioner (Family)
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
JANE LEE HONEYCUTT
Case Manager/Care Coordinator
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1133
MRS. ABIDEMI ADEWOYIN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
MERCIDA HAMPTON BANKS LCAS-A
Counselor (Addiction (Substance Use Disorder))
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100

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 Courtney Wagoner's NPI number?

The NPI number for Courtney Wagoner is 1437441862. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Courtney Wagoner located?

Courtney Wagoner practices at 284 Executive Park Dr Ste 100, Concord, NC 28025. The listed phone number is (704) 939-1100.

What is Courtney Wagoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Courtney Wagoner enrolled in Medicare?

Yes. Courtney Wagoner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Courtney Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Wagoner reassigns Medicare benefits to Daymark Recovery Services, Inc. (Concord, NC). 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 Courtney Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Wagoner accept?

Health plans from AmeriHealth Caritas Next list Courtney Wagoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Wagoner was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.