Avery Wageman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

90746 Issued in TX

Practice address

1420 W McDermott Dr Apt 515
Allen, TX 75013-3302

Phone

(903) 421-3833

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1043034614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MCDERMOTT DR APT 515",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133302",
            "telephone_number": "903-421-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MCDERMOTT DR APT 515",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133302",
            "telephone_number": "903-421-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802026000",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGEMAN",
        "first_name": "AVERY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0022329",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thien Vu, DDS
• Maryann Vu, CSFA
• Lieu 'Michelle' Nguyen Vuong, PH.D.
• Sruti Vyas, CNM
• Elmira Wade
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2918)
• Wal-Mart Stores Texas LLC (Wal-Mart Vision Center 30-2918)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3574)
• Walgreen Co (Walgreens #04860)
• Walgreen Co (Walgreens #06829)

• Mental Health Counselor in Allen, TX
• Providers in Allen, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.