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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: August 02, 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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Medicare Participation & PECOS CMS

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

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.

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
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
DESIREE ROBERTS LPC
Counselor (Professional)
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.

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.