Active NPI
Alwin Edward Wagener IV, LPC
- Professional Counselor
- Easton, PA
National Provider Identifier
1649701285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC016381
- Practice address
- 923 McCartney St
Easton, PA 18042-1566 - Phone
- (828) 215-8872
- NPI assigned
- Mar 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00948000 | NJ | |
| Professional Counselor | 101YP2500X | PC016381 | PA | Primary |
Addresses
Primary practice location
923 McCartney St
Easton, PA 18042-1566
Mailing address
923 McCartney St
Easton, PA 18042-1566
Phone (828) 215-8872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00948000 | NJ | MD | Professional Counselor |
| PC016381 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1649701285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 MCCARTNEY ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180421566",
"telephone_number": "828-215-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 MCCARTNEY ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180421566",
"telephone_number": "828-215-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGENER",
"first_name": "ALWIN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-24",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00948000",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC016381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.