Individual provider Active NPI

Emily Wagner, LPC

  • Mental Health Counselor
  • Parkersburg, WV
National Provider Identifier
1194512301
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3067 Issued in WV
Practice address
936 Market St
Parkersburg, WV 26101-4795
Phone
(304) 422-7300
Fax
(304) 428-3719
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3067 WV Primary

Addresses

Primary practice location

936 Market St
Parkersburg, WV 26101-4795

Mailing address

936 Market St
Parkersburg, WV 26101-4795
Phone (304) 422-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529001779 WV Practitioner - Mental Health Counselor 4486173705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Wellness Center LLCGroup PAC ID 5395983126, 17 clinicians

Practice addresses (Care Compare)

936 Market St
Parkersburg, WV 26101-4795
Phone (304) 422-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Center LLC CurrentSince May 1, 2025 Accepting new patients

Locations

936 Market St
Parkersburg, WV 26101
Phone (304) 422-7300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1194512301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MARKET ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014795",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MARKET ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014795",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.