Richard Elliott Wagner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5470 Glen Lakes Dr
Dallas, TX 75231-4320

Phone

(214) 538-3200

Fax

(214) 265-1916

NPI assigned

Mar 5, 2008

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1366612418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20395 FARM ROAD 79",
            "city": "SUMNER",
            "state": "TX",
            "postal_code": "754863652",
            "telephone_number": "214-538-3200",
            "fax_number": "214-265-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314320",
            "telephone_number": "214-538-3200",
            "fax_number": "214-265-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RICHARD",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wagner
• Jennifer Marie Wagner, MD
• Kaleena Wagner, CGC
• Kurt John Wagner III, MD, MBA
• Richard Downs Wagner, D.O.
• Tara Wagner
• Gulam M. Waheed, D.O.
• Jawairia Waheed, DDS
• Muhammad Talha Waheed, MD
• Ayesha Wahid, LPC

• All providers in Dallas, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.