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MR. SAMUEL CHARLES WAGNER V LPC
NPI 1437863222
Counselor - Professional in Fairfax, VA

Active since January 06, 2023PECOS Enrolled
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(571) 595-7532 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2024, Jan 6, 2023 (2 updates tracked since 2023).

About Mr. Samuel Charles Wagner V Lpc NPPES

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

MR. SAMUEL CHARLES WAGNER V LPC (NPI 1437863222) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701012099) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437863222
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SAMUEL CHARLES WAGNER VCredential: LPC
Location Address8221 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4512
Mailing Address480 Kearns DrCulpeper, VA 22701-1994 · (540) 229-0993
Phone(571) 595-7532
Sole ProprietorNo
Enumeration DateJanuary 6, 2023
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1437863222 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 VA · 0701012099
Also ListedCounselorTaxonomy 101Y00000X · License 0701012099 (VA)
8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Charles Wagner V Lpc 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 Samuel Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax County, Virginia
7.0 mi
Mental Health (Including Community Mental Health Center)
12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Director Of Finance-County Of Fairfax Va
  • 383 clinicians in this Medicare group
NPI 1154356244 (703) 324-7000

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.

CONNIE LEE MD
Psychiatry & Neurology (Psychiatry)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
NEIGHBORHOOD HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 535-5568
FELICIA ABOAGYE LNP
Nurse Practitioner (Psychiatric/Mental Health)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
TRISHA MARIE HINDY BURKS LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
ZACHARY DALE LANDAU LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 852-0041
ANNA LEE KOOZMIN MSW, LCSW, LICSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 324-7100
JULIA LYNN CONVERSE LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000

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 Samuel Wagner's NPI number?

The NPI number for Samuel Wagner is 1437863222. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Samuel Wagner located?

Samuel Wagner practices at 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (571) 595-7532.

What is Samuel Wagner's specialty?

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

Is Samuel Wagner enrolled in Medicare?

Yes. Samuel Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wagner reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, VA). 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 Samuel Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Wagner accept?

Health plans from Oscar Health list Samuel Wagner 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 Samuel Wagner was last updated on January 2, 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.