Active NPI
Michelle Megan Wagar, LPC
- Professional Counselor
- Brighton, MI
National Provider Identifier
1619674017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401226085
- Practice address
- 2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328 - Phone
- (517) 492-0517
- Fax
- (810) 215-1334
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401226085 | MI | Primary |
Addresses
Primary practice location
2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328
Mailing address
2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328
Phone (517) 492-0517
Other practice location 1
6770 Dixie Hwy Ste 103
Clarkston, MI 48346-2088
Phone (248) 922-7726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Genoa Business Park Dr
Suite 100
Brighton, MI 48114-5328
Phone (810) 494-7180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401226085 | MI | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Psychologist
- Taylor, MI
- NPI 1295866135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1619674017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 GENOA BUSINESS PARK DR STE 100",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145328",
"telephone_number": "517-492-0517",
"fax_number": "810-215-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GENOA BUSINESS PARK DR STE 100",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145328",
"telephone_number": "517-492-0517",
"fax_number": "810-215-1334"
}
],
"practiceLocations": [
{
"address_1": "6770 Dixie Hwy Ste 103",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "MI",
"postal_code": "483462088",
"country_code": "US",
"telephone_number": "248-922-7726",
"fax_number": "248-856-1492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGAR",
"first_name": "MICHELLE",
"middle_name": "MEGAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401226085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.