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MRS. MIRACLE WAGNER LPC
NPI 1548611387
Counselor - Professional in Arlington, TX

Active since June 23, 2016PECOS Enrolled
805 WASHINGTON DR STE D, ARLINGTON, TX 76011(817) 264-6048(817) 549-9755 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2019, Apr 30, 2019, Jun 23, 2016 (3 updates tracked since 2016).

About Mrs. Miracle Wagner Lpc NPPES

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

MRS. MIRACLE WAGNER LPC (NPI 1548611387) is an individual professional provider in Arlington, Texas, licensed in Texas (72494) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548611387
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MIRACLE WAGNERCredential: LPC
Location Address805 WASHINGTON DR STE DArlington, TX 76011-2528
Mailing AddressPo Box 201593Arlington, TX 76006-1593 · (817) 264-6048
Phone(817) 264-6048
Fax(817) 549-9755
Sole ProprietorYes
Enumeration DateJune 23, 2016
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1548611387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 72494
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
805 WASHINGTON DR STE D, Arlington, TX 76011
Open in Google Maps ↗

Other Identifiers 1

Medicaid360855601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Mrs. Miracle Wagner 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

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

MIRACLE WORKS PLLC
Community/Behavioral Health
805 WASHINGTON DR STE D
ARLINGTON, TX 76011
Tarrant County (817) 264-6048

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 Miracle Wagner's NPI number?

The NPI number for Miracle Wagner is 1548611387. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Miracle Wagner located?

Miracle Wagner practices at 805 Washington Dr Ste D, Arlington, TX 76011. The listed phone number is (817) 264-6048.

What is Miracle Wagner's specialty?

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

Is Miracle Wagner enrolled in Medicare?

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

What insurance does Miracle Wagner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Miracle 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 Miracle Wagner was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.