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NICOLE WAGONER LCMHC
NPI 1477015881
Counselor - Mental Health in New Bern, NC

Active since April 03, 2019
2409 GRACE AVE, NEW BERN, NC 28562(910) 759-5959(910) 516-5036 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 20, 2025, Oct 21, 2022, May 24, 2021 and 1 more (4 updates tracked since 2019).

About Nicole Wagoner Lcmhc NPPES

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

NICOLE WAGONER LCMHC (NPI 1477015881) is an individual mental health provider in New Bern, North Carolina, licensed in North Carolina (14357) and active in the NPI registry since April 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477015881
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE WAGONERCredential: LCMHC
Location Address2409 GRACE AVENew Bern, NC 28562-4445
Mailing Address509c Broad StNew Bern, NC 28560-4803 · (910) 759-5959 · Fax (910) 516-5036
Phone(910) 759-5959
Fax(910) 516-5036
Sole ProprietorYes
Enumeration DateApril 3, 2019
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1477015881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 14357✔ Licensed in NC · A14357
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 14357 (NC)
2409 GRACE AVE, New Bern, NC 28562
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1233 Middle St Ste 105New Bern, NC 28560-2101 · Phone (910) 759-5959
Location 2205 US Highway 117 S Unit 1Burgaw, NC 28425-6704 · Phone (910) 759-5959 · Fax (910) 516-5036
Location 3509C Broad StNew Bern, NC 28560-4803 · Phone (910) 759-5959 · Fax (910) 516-5036

Other Identifiers 2

Medicaid1477015881NC
Medicaid1295468742NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

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.

OCEAN'S CREST COUNSELING CENTER, PLLC
Counselor (Mental Health)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
JENNIFER HILLIARD
Counselor (Mental Health)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
KAYLA BORGOLINI LCSWA
Social Worker (Clinical)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
CHARMEEN ANDREA PENN MSW, LCSW
Social Worker (Clinical)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (252) 368-6161
LAURA ANN BOSWELL LCMHC
Counselor (Mental Health)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
DR. RICHARD FORBES GORMAN DDS, MSCO,PA
Dentist (Orthodontics and Dentofacial Orthopedics)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (252) 638-8155

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 Nicole Wagoner's NPI number?

The NPI number for Nicole Wagoner is 1477015881. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Nicole Wagoner located?

Nicole Wagoner practices at 2409 Grace Ave, New Bern, NC 28562. The listed phone number is (910) 759-5959.

What is Nicole Wagoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Nicole Wagoner accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Nicole Wagoner 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 Nicole Wagoner was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.