MRS. KATHLEEN ANN WAGNER MA, LPC
NPI 1982969754
Counselor - Professional in Fayetteville, GA

Q: What is Kathleen Wagner's NPI number?

The NPI number for Kathleen Wagner is 1982969754. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Kathleen Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Wagner was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 09, 2012

145 EMERALD LN, FAYETTEVILLE, GA 30214(678) 871-5927 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2020, Jan 25, 2019 (2 updates tracked since 2019).

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About Mrs. Kathleen Ann Wagner Ma, Lpc NPPES

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

MRS. KATHLEEN ANN WAGNER MA, LPC (NPI 1982969754) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC006769) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1982969754

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KATHLEEN ANN WAGNERCredential: MA, LPC

Location Address145 EMERALD LNFayetteville, GA 30214-4234

Mailing Address145 Emerald LnFayetteville, GA 30214-4234 · (678) 871-5927

Phone(678) 871-5927

Sole ProprietorNo

Enumeration DateJuly 9, 2012

Last NPPES UpdateMay 14, 20202 updates tracked since enumeration

NPPES CertifiedMay 14, 2020

✔ NPI 1982969754 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 · LPC006769

145 EMERALD LN, Fayetteville, GA 30214

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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 Kathleen Wagner's NPI number?

The NPI number for Kathleen Wagner is 1982969754. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Kathleen Wagner located?

Kathleen Wagner practices at 145 Emerald Ln, Fayetteville, GA 30214. The listed phone number is (678) 871-5927.

What is Kathleen Wagner'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 Kathleen Wagner was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.