Laura Beth Wagar, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009134 Issued in GA

Practice address

246 Eagles Nest Dr
Canton, GA 30115-2271

Phone

(404) 626-5500

NPI assigned

Jul 8, 2020

Last updated

Sep 21, 2026By the provider in NPPES

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

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  Medicare reassignment Care Compare group NPD
• Stillpoint Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, GA
  • NPI 1497659742
  Authorized official Same address or phone

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1376161224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 EAGLES NEST DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152271",
            "telephone_number": "404-626-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 EAGLES NEST DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152271",
            "telephone_number": "404-626-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGAR",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Podiatry Group, LLC.
• Ana Maria Villanueva, DOM, AP
• Jessica Lynn Visser, MD
• Volha Visser
• Wade L Barnes & Jennifer R Burgess
• Heather Wagner
• Anthony David Wahbeh, MD
• Ethan Jacob Wajswol, MD (5/18/2020)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0518)
• Wal-Mart Stores East, LP

• Professional Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.