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

Q: 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.

Q: What is Courtney Wagoner's specialty?

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

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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

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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 Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 19

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

DARLENE GRIFFITH

Social Worker (Clinical)