Active NPI
Marsha Wagner, LPC
- Professional Counselor
- Butler, PA
National Provider Identifier
1154497519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003004
- Practice address
- 112 Hillvue Dr
Butler, PA 16001-3426 - Phone
- (724) 287-0791
- Fax
- (724) 287-2730
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC003004 | PA | Primary |
Addresses
Primary practice location
112 Hillvue Dr
Butler, PA 16001-3426
Mailing address
167 Green Manor Dr
Butler, PA 16002-3703
Phone (724) 283-3805
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC003004 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154497519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 GREEN MANOR DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160023703",
"telephone_number": "724-283-3805",
"fax_number": "724-287-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HILLVUE DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160013426",
"telephone_number": "724-287-0791",
"fax_number": "724-287-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "MARSHA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.