MR. EDWARD T WAGNER III LPC
NPI 1790310860
Counselor - Mental Health in Gilbertsville, PA

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment
1831 SWAMP PIKE STE 100, GILBERTSVILLE, PA 19525(610) 484-0736 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Edward T Wagner Iii Lpc NPPES

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

MR. EDWARD T WAGNER III LPC (NPI 1790310860) is an individual mental health provider in Gilbertsville, Pennsylvania, licensed in Pennsylvania (PC012234) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790310860
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDWARD T WAGNER IIICredential: LPC
Location Address1831 SWAMP PIKE STE 100Gilbertsville, PA 19525-8927
Mailing Address2583 Crabapple CtGilbertsville, PA 19525-8839 · (610) 850-3859
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 9, 2020
Last NPPES UpdateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
NPI 1790310860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in PA · PC012234
1831 SWAMP PIKE STE 100, Gilbertsville, PA 19525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Edward T Wagner Iii Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476911595
PECOS Enrollment IDI20240620002147
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.

Counselor (Professional)
1831 SWAMP PIKE STE 100
GILBERTSVILLE, PA 19525

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 Edward Wagner's NPI number?

The NPI number for Edward Wagner is 1790310860. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Edward Wagner located?

Edward Wagner practices at 1831 Swamp Pike Ste 100, Gilbertsville, PA 19525. The listed phone number is (610) 484-0736.

What is Edward Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Edward Wagner enrolled in Medicare?

Yes. Edward Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Wagner accept?

Health plans from Providence Health Plan list Edward 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 Edward Wagner was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.