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MADISON C WAGNER LCDC III
NPI 1669256574
Counselor - Addiction (Substance Use Disorder) in Youngstown, OH

Active since August 22, 2023
550 W CHALMERS AVE, YOUNGSTOWN, OH 44511(330) 797-0070 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Aug 22, 2023 (2 updates tracked since 2023).

About Madison C Wagner Lcdc Iii NPPES

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

MADISON C WAGNER LCDC III (NPI 1669256574) is an individual addiction (substance use disorder) provider in Youngstown, Ohio, licensed in Ohio (LCDCIII.163017) and active in the NPI registry since August 2023. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669256574
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMADISON C WAGNERCredential: LCDC III
Location Address550 W CHALMERS AVEYoungstown, OH 44511-1576
Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146
Phone(330) 797-0070
Sole ProprietorNo
Enumeration DateAugust 22, 2023
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1669256574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCIII.163017
550 W CHALMERS AVE, Youngstown, OH 44511
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Secondary Practice Locations 3

Location 1527 N Meridian RdYoungstown, OH 44509-1227 · Phone (330) 797-0070 · Fax (330) 797-9146
Location 28255 South AveYoungstown, OH 44512-6483 · Phone (330) 797-0070 · Fax (330) 797-9146
Location 3320 High St NEWarren, OH 44481-1222 · Phone (330) 797-0070 · Fax (330) 797-9146

Other Providers at the Same Location NPPES 20

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

CHRISTIAN CLARK
Community/Behavioral Health
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 746-7829
SAMANTHA A CROSS CDCA
Counselor (Addiction (Substance Use Disorder))
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
MONICA S JONES RN, LPN
Registered Nurse
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
TRACEY L HERNANDEZ LPN
Licensed Practical Nurse
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
ALISSA LOREN SHRODEK RN, PMHNP
Registered Nurse
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
LAURA M RIDGE LPCC-S
Counselor (Professional)
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0074
DONNA S BARNHART LSW
Social Worker
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
MALLORY A OLITSKY CDCA, QMHS
Counselor (Addiction (Substance Use Disorder))
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070

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 Madison Wagner's NPI number?

The NPI number for Madison Wagner is 1669256574. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Madison Wagner located?

Madison Wagner practices at 550 W Chalmers Ave, Youngstown, OH 44511. The listed phone number is (330) 797-0070.

What is Madison Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Madison Wagner was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.