Lucas Wagers
Individual provider Active NPI Counselor · West Liberty, KY
NPI 1497521116 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1497521116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 767 Main St
West Liberty, KY 41472-1019 - Phone
- (606) 743-3139
- NPI assigned
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
767 Main St
West Liberty, KY 41472-1019
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8195
Other providers in West Liberty, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.