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ELIZABETH WAGONER
NPI 1770427965
Counselor in Lafayette, IN

Active since April 16, 2026
25 EXECUTIVE DR STE F, LAFAYETTE, IN 47905(217) 504-0131 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Wagoner NPPES

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

ELIZABETH WAGONER (NPI 1770427965) is an individual counselor in Lafayette, Indiana, licensed in Indiana (99135905A) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1770427965
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameELIZABETH WAGONER
Location Address25 EXECUTIVE DR STE FLafayette, IN 47905-4880
Mailing Address25 Executive Dr Ste FLafayette, IN 47905-4880 · (217) 504-0131
Phone(217) 504-0131
Sole ProprietorYes
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1770427965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IN · 99135905A
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
25 EXECUTIVE DR STE F, Lafayette, IN 47905
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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

Other Providers at the Same Location NPPES

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

PAULA BULLA
Counselor
25 EXECUTIVE DR STE F
LAFAYETTE, IN 47905
Tippecanoe County (217) 504-0131

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 Elizabeth Wagoner's NPI number?

The NPI number for Elizabeth Wagoner is 1770427965. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Elizabeth Wagoner located?

Elizabeth Wagoner practices at 25 Executive Dr Ste F, Lafayette, IN 47905. The listed phone number is (217) 504-0131.

What is Elizabeth Wagoner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Wagoner was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.