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MS. LAURA LEE WAGNER M.S., LMHC, LCAC
NPI 1720586936
Counselor - Professional in West Lafayette, IN

Active since January 23, 2018
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907(765) 494-6995(765) 496-2139 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Laura Lee Wagner M.s., Lmhc, Lcac NPPES

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

MS. LAURA LEE WAGNER M.S., LMHC, LCAC (NPI 1720586936) is an individual professional provider in West Lafayette, Indiana, licensed in Indiana (39002286A) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1720586936
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LAURA LEE WAGNERCredential: M.S., LMHC, LCAC
Location Address601 STADIUM MALL DRWest Lafayette, IN 47907-2052
Mailing Address418 N Abigail StRensselaer, IN 47978-2402 · (219) 866-0006
Phone(765) 494-6995
Fax(765) 496-2139
Sole ProprietorYes
Enumeration DateJanuary 23, 2018
✔ NPI 1720586936 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 IN · 39002286A
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87000662A (IN)
601 STADIUM MALL DR, West Lafayette, IN 47907
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

GERALD N MAESAKA M.D.
Family Medicine
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1700
DR. RUTH S OCONNOR MD
General Practice
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1700
YUN CAI
Nurse Practitioner (Adult Health)
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1700
LESLIE D LESTER MWNP
Nurse Practitioner
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1700
BRENDA MASIGA-CROWELL
Registered Nurse
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1720
FARHAT ALUCOZAI
Nurse Practitioner (Family)
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 496-4636
DR. JEAN N PERRIN MD
General Practice
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1700
DR. EDWARD J HOSKINS MD RHD
General Practice
601 STADIUM MALL DR
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-1700

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 Laura Wagner's NPI number?

The NPI number for Laura Wagner is 1720586936. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Laura Wagner located?

Laura Wagner practices at 601 Stadium Mall Dr, West Lafayette, IN 47907. The listed phone number is (765) 494-6995.

What is Laura 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 Laura Wagner was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.