Individual provider Active NPI

Gary Schwager, LPC

  • Professional Counselor
  • Wake Forest, NC
National Provider Identifier
1003983636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 10930 Issued in NC
Practice address
122 W. Vernon St.
Wake Forest, NC 27587
Phone
(919) 903-3182
Fax
(919) 554-9232
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 10930 NC
Professional Counselor 101YP2500X 10930 NC
Marriage & Family Therapist 106H00000X MFC39143 CA
Professional Counselor 101YP2500X LPC 10930 NC Primary

Addresses

Primary practice location

122 W. Vernon St.
Wake Forest, NC 27587

Mailing address

527 Elm Ave
Wake Forest, NC 27587-2783
Phone (919) 903-3182

Other practice location 1

943 W Andrews Ave Ste H
Henderson, NC 27536-2562
Phone (252) 433-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC 10930NCMDMental Health Counselor
MFC39143CAMDMarriage & Family Therapist
10930NCMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003983636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ELM AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872783",
            "telephone_number": "919-903-3182",
            "fax_number": "415-833-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W. VERNON ST.",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-903-3182",
            "fax_number": "919-554-9232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 W Andrews Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275362562",
            "country_code": "US",
            "telephone_number": "252-433-0061",
            "fax_number": "252-433-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAGER",
        "first_name": "GARY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC 10930",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10930",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39143",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPC 10930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.