Brandon Waggoner, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701008633 Issued in VA

Practice address

22174 Timberlake Rd Ste D
Lynchburg, VA 24502-5055

Phone

(434) 525-9006

NPI assigned

Sep 24, 2019

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Male

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 WV

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Beaconlight Counseling LLC

  • Mental Health Counselor
  • Hurricane, WV
  • NPI 1023829819
  Medicare reassignment NPD Authorized official
• Christian Counseling Services

  • Mental Health Counselor
  • Forest, VA
  • NPI 1639202765
  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1568013274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HIGHLANDS RD STE 200",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22174 TIMBERLAKE RD STE D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025055",
            "telephone_number": "434-525-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "BRANDON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Goin Waddell, FNP-BC
• Elizabeth Wade
• James Scott Wade, MD
• Kayla Wade
• Tonya Lynnell Wade
• Laura Elizabeth Wagner, PH.D.
• Wagoner Family Eye Care, PLLC
• Kimberly Wakil
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4697)
• Wal-Mart Stores East LP (Vision Center 30-4697)

• Mental Health Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.