TONYA LAVON WAGONER LGPC
NPI 1982374583
Counselor - Mental Health in Capitol Heights, MD

Active since September 15, 2021PECOS Enrolled
6512 RONALD RD APT T1, CAPITOL HEIGHTS, MD 20743(202) 819-3316 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2023, Sep 15, 2021 (2 updates tracked since 2021).

About Tonya Lavon Wagoner Lgpc NPPES

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

TONYA LAVON WAGONER LGPC (NPI 1982374583) is an individual mental health provider in Capitol Heights, Maryland, licensed in Maryland (LC12354) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982374583
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTONYA LAVON WAGONERCredential: LGPC
Location Address6512 RONALD RD APT T1Capitol Heights, MD 20743-4481
Mailing Address4733 W Braddock Rd Apt 101Alexandria, VA 22311-4733 · (202) 819-3316
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 15, 2021
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1982374583 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 MD · LC12354
6512 RONALD RD APT T1, Capitol Heights, MD 20743

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya Lavon Wagoner Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597239723
PECOS Enrollment IDI20260629004733
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.

Medicare Billing Reassignment

Medicare enrollment records show Tonya Wagoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
  • Reassigned Medicare billing, District of Columbia enrollment
  • 200 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tonya Wagoner's NPI number?

The NPI number for Tonya Wagoner is 1982374583. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Tonya Wagoner located?

Tonya Wagoner practices at 6512 Ronald Rd Apt T1, Capitol Heights, MD 20743. The listed phone number is (202) 819-3316.

What is Tonya Wagoner's specialty?

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

Is Tonya Wagoner enrolled in Medicare?

Yes. Tonya Wagoner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonya Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Wagoner reassigns Medicare benefits to Psychogeriatric Services LLC (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tonya Wagoner was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.