1. Home
  2. Directory
  3. Illinois
  4. Roscoe
  5. Counselor
  6. NPI Profile

SHANNON WAGNER
NPI 1790520302
Counselor - Professional in Roscoe, IL

Active since June 26, 2024
11447 2ND ST STE 9A, ROSCOE, IL 61073(815) 601-4673 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Shannon Wagner NPPES

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

SHANNON WAGNER (NPI 1790520302) is an individual professional provider in Roscoe, Illinois, licensed in Illinois (178019380) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1790520302
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON WAGNER
Location Address11447 2ND ST STE 9ARoscoe, IL 61073-9522
Mailing Address515 Pin Oak RdRockton, IL 61072-8023 · (815) 997-3829
Phone(815) 601-4673
Sole ProprietorNo
Enumeration DateJune 26, 2024
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1790520302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178019380
11447 2ND ST STE 9A, Roscoe, IL 61073
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.Insurance ›

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 Shannon Wagner's NPI number?

The NPI number for Shannon Wagner is 1790520302. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Shannon Wagner located?

Shannon Wagner practices at 11447 2nd St Ste 9A, Roscoe, IL 61073. The listed phone number is (815) 601-4673.

What is Shannon Wagner's specialty?

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

What insurance does Shannon Wagner accept?

Health plans from MercyCare Health Plans list Shannon 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 Shannon Wagner was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.