MRS. SUSAN LYN WAGAMAN LMHCA
NPI 1902157050
Counselor - Mental Health in Olympia, WA

Q: What is Susan Wagaman's NPI number?

The NPI number for Susan Wagaman is 1902157050. It was assigned to this individual provider in the NPPES registry on September 28, 2012. The provider is also known as Miss Susan Lyn Gibson.

Q: What is Susan Wagaman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Wagaman was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 28, 2012PECOS EnrolledAccepts Medicare Assignment

2100 CATON WAY SW, OLYMPIA, WA 98502(360) 866-7406(360) 570-3325 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Susan Lyn Wagaman Lmhca NPPES

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

MRS. SUSAN LYN WAGAMAN LMHCA (NPI 1902157050) is an individual mental health provider in Olympia, Washington, licensed in Washington (MC60272419) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902157050

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. SUSAN LYN WAGAMANCredential: LMHCA

Location Address2100 CATON WAY SWOlympia, WA 98502-1105

Mailing Address2100 Caton Way SwOlympia, WA 98502-1105 · (360) 866-7406 · Fax (360) 570-3325

Phone(360) 866-7406

Fax(360) 570-3325

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 28, 2012

✔ NPI 1902157050 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 WA · MC60272419

2100 CATON WAY SW, Olympia, WA 98502

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Other Names 1

Former Name (1)Miss Susan Lyn Gibson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Mrs. Susan Lyn Wagaman Lmhca 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 ID446763510

PECOS Enrollment IDI20250701003837

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 8

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

KRISTEN PACE ARNP

Nurse Practitioner (Psychiatric/Mental Health)