MR. MARK WAGEMAKER LPC 5042
NPI 1891826822
Counselor - Professional in Carrollton, GA

Active since March 09, 2007
402B ADAMSON SQ, SUITE 11, CARROLLTON, GA 30117(404) 580-6684 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Wagemaker Lpc 5042 NPPES

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

MR. MARK WAGEMAKER LPC 5042 (NPI 1891826822) is an individual professional provider in Carrollton, Georgia, licensed in Georgia (LPC5042) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1891826822
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK WAGEMAKERCredential: LPC 5042
Location Address402B ADAMSON SQ, SUITE 11Carrollton, GA 30117-3214
Mailing AddressPo Box 1196Carrollton, GA 30112-0022 · (404) 580-6684
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 5, 2009
NPI 1891826822 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 GA · LPC5042
402B ADAMSON SQ, Carrollton, GA 30117

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 Mark Wagemaker's NPI number?

The NPI number for Mark Wagemaker is 1891826822. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Mark Wagemaker located?

Mark Wagemaker practices at 402B Adamson Sq Suite 11, Carrollton, GA 30117. The listed phone number is (404) 580-6684.

What is Mark Wagemaker'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 Mark Wagemaker was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.