CAROLYN WAGNER MA, LPC
NPI 1467986141
Counselor - Professional in Wilmette, IL

Active since April 19, 2017
1159 WILMETTE AVE, SUITE 225, WILMETTE, IL 60091(847) 728-8148 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2020, Apr 19, 2017 (2 updates tracked since 2017).

About Carolyn Wagner Ma, Lpc NPPES

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

CAROLYN WAGNER MA, LPC (NPI 1467986141) is an individual professional provider in Wilmette, Illinois, licensed in Illinois (180.013022) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1467986141
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROLYN WAGNERCredential: MA, LPC
Location Address1159 WILMETTE AVE, SUITE 225Wilmette, IL 60091-2649
Mailing Address116 Elmore StPark Ridge, IL 60068-3520 · (847) 728-8148
Sole ProprietorYes
Enumeration DateApril 19, 2017
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
NPI 1467986141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180.013022 Licensed in IL · 178.008548
1159 WILMETTE AVE, Wilmette, IL 60091

Other Providers at the Same Location NPPES 6

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

Chiropractor
1159 WILMETTE AVE, SUITE 228
WILMETTE, IL 60091
Social Worker (Clinical)
1159 WILMETTE AVE, SUITE 9
WILMETTE, IL 60091
Dentist (General Practice)
1159 WILMETTE AVE, SUITE 200
WILMETTE, IL 60091
Chiropractor
1159 WILMETTE AVE, SUITE 228
WILMETTE, IL 60091
Counselor (Professional)
1159 WILMETTE AVE
WILMETTE, IL 60091
Acupuncturist
1159 WILMETTE AVE, SUITE 225
WILMETTE, IL 60091

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 Carolyn Wagner's NPI number?

The NPI number for Carolyn Wagner is 1467986141. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Carolyn Wagner located?

Carolyn Wagner practices at 1159 Wilmette Ave Suite 225, Wilmette, IL 60091. The listed phone number is (847) 728-8148.

What is Carolyn Wagner's specialty?

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

When was this NPI record last updated?

The NPPES record for Carolyn Wagner was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.