Whitley Gabrielle Wagner, LMHP-R

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704017605 Issued in VA

Practice address

2677 Steelsburg Hwy Ste 10
Cedar Bluff, VA 24609-7056

Phone

(276) 963-2363

Fax

(276) 963-2360

NPI assigned

Mar 3, 2026

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1114872314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 STEELSBURG HWY STE 10",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246097056",
            "telephone_number": "276-963-2363",
            "fax_number": "276-963-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "WHITLEY",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "LMHP-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704017605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Cedar Bluff, VA
• Providers in Cedar Bluff, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.