Jennifer Lynn Wagner, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006579 Issued in IL

Practice address

800 W 5TH Ave
Suite 205I
Naperville, IL 60563-8965

Phone

(630) 779-0751

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Human Services Consulting Group Inc

  • Professional Counselor
  • Naperville, IL
  • NPI 1467556571
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1184857443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "SUITE 205I",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-779-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "SUITE 205I",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-779-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "23972",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aili Wachtel, LCPC
• Lara Waechtler
• Sindhu Wagle Reshmi Thapa, DDS
• Amy Wagner, LCPC
• Dana Beth Wagner, PSYD
• Kurt Arthur Wagner, DDS
• Lisa M Wagner, LPC
• Michael Wagner, MD
• Wendy Lynn Wagner, MPT
• Alana Coleen Wagoner

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.