Samantha Wagner, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC001261 Issued in PA

Practice address

7 Bristol CT
Wyomissing, PA 19610-1805

Phone

(494) 706-9465

NPI assigned

May 15, 2025

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

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.

• Everlasting Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reading, PA
  • NPI 1871050906
  NPD (past)

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1336930759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 ARLINGTON ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182522105",
            "telephone_number": "570-573-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101805",
            "telephone_number": "494-706-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SAMANTHA",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC001261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Vyas, D.O.
• Jerome Wachter
• Beth Ann Wagner, CRNP
• Denise K Wagner, D.P.T
• Jaimi Wagner
• Yadja Wagner
• Elizabeth Ann Waholek, M.A., LBSC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Tabitha Waldron

• Mental Health Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.