Active NPI
Janelle Wagenknecht, MA, LPCC, ADDC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1104653211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC.0021476
- Practice address
- 8059 Radcliff Dr
Colorado Springs, CO 80920-8060 - Phone
- (719) 332-4102
- NPI assigned
- Sep 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADDC.0000435 | CO | |
| Professional Counselor | 101YP2500X | LPCC.0021476 | CO | Primary |
Addresses
Primary practice location
8059 Radcliff Dr
Colorado Springs, CO 80920-8060
Mailing address
8059 Radcliff Dr
Colorado Springs, CO 80920-8060
Phone (719) 332-4102
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADDC.0000435 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPCC.0021476 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1104653211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8059 RADCLIFF DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208060",
"telephone_number": "719-332-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8059 RADCLIFF DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208060",
"telephone_number": "719-332-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGENKNECHT",
"first_name": "JANELLE",
"credential": "MA, LPCC, ADDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ADDC.0000435",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0021476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.