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MICHELLE WAGNER L.M.H.C., L.C.P.C.
NPI 1467593962
Counselor - Mental Health in Princeville, IL

Active since February 09, 2007PECOS Enrolled
11424 N PARK RDG, PRINCEVILLE, IL 61559(309) 210-5887 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 14, 2026, Jul 14, 2021 (2 updates tracked since 2021).

About Michelle Wagner L.m.h.c., L.c.p.c. NPPES

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

MICHELLE WAGNER L.M.H.C., L.C.P.C. (NPI 1467593962) is an individual mental health provider in Princeville, Illinois, licensed in Iowa (00768) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467593962
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE WAGNERCredential: L.M.H.C., L.C.P.C.
Location Address11424 N PARK RDGPrinceville, IL 61559-9136
Mailing Address11424 N Park RdgPrinceville, IL 61559-9136 · (309) 210-5887
Phone(309) 210-5887
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1467593962 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 IA · 00768
11424 N PARK RDG, Princeville, IL 61559
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Other Identifiers 1

Medicaid0074526IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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)

Michelle Wagner L.m.h.c., L.c.p.c. 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

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

COMPASS COUNSELING CENTER, LLC
Counselor (Mental Health)
11424 N PARK RDG
PRINCEVILLE, IL 61559
Peoria County (309) 210-5887

Frequently Asked Questions

What is Michelle Wagner's NPI number?

The NPI number assigned to this healthcare provider is 1467593962, enumerated as an "individual" on February 09, 2007.

Where is the provider located?

The provider is located at 11424 N PARK RDG PRINCEVILLE, IL 61559 and the phone number is (309) 210-5887.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Michelle Wagner accept?

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.