Christin Wagner

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013192 Issued in PA

Practice address

100 W Main St
Lansdale, PA 19446-2019

Phone

(267) 377-5598

NPI assigned

May 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  PA

  Medicare reassignment NPD
• Then You Stand Enrichment Center LLC

  • Professional Counselor
  • Doylestown, PA
  • NPI 1093240426
  NPD (past)

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1295309151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N CHURCH ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014397",
            "telephone_number": "267-410-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462019",
            "telephone_number": "267-377-5598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 N Church St",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189014397",
            "country_code": "US",
            "telephone_number": "267-410-9637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thenyoustand@comcast.net",
            "affiliation": "N",
            "address_1": "62 N Church St",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189014397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Viva Life and Home Care LLC
• Volunteer Medical Service Corps of Lansdale
• Wagner & Stathos Counseling LLC
• Wagner & Stathos Counseling LLC
• Amy Wagner, MAC, LPC
• Walgreen Co
• Walgreen Co
• Sarah Walker, MOT, OTR/L, ECHM
• Ashley Lynne Walter, OTR/L
• Elizabeth Walters, CRNP

• Professional Counselor in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.