1. Home
  2. Directory
  3. Texas
  4. Atlanta
  5. Counselor
  6. NPI Profile

JENNIFER WAGNER LPC, LCDC
NPI 1508392135
Counselor - Professional in Atlanta, TX

Active since May 02, 2017PECOS Enrolled
702 HOLLY ST, ATLANTA, TX 75551(903) 278-7795 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jennifer Wagner Lpc, Lcdc NPPES

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

JENNIFER WAGNER LPC, LCDC (NPI 1508392135) is an individual professional provider in Atlanta, Texas, licensed in Texas (78248) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508392135
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER WAGNERCredential: LPC, LCDC
Location Address702 HOLLY STAtlanta, TX 75551-2308
Mailing AddressPo Box 777Atlanta, TX 75551-0777
Phone(903) 278-7795
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 2, 2017
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1508392135 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 TX · 78248
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 13846 (TX)
702 HOLLY ST, Atlanta, TX 75551
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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)

Jennifer Wagner Lpc, Lcdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587002761
PECOS Enrollment IDI20240406000524
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.

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 Jennifer Wagner's NPI number?

The NPI number for Jennifer Wagner is 1508392135. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Jennifer Wagner located?

Jennifer Wagner practices at 702 Holly St, Atlanta, TX 75551. The listed phone number is (903) 278-7795.

What is Jennifer Wagner's specialty?

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

Is Jennifer Wagner enrolled in Medicare?

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

What insurance does Jennifer Wagner accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jennifer 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 Jennifer Wagner was last updated on August 3, 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.