Active NPI
Gerri Lynne Wagner, LCSW
- School Counselor
- Elmira, NY
National Provider Identifier
1679858161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- R041840
- Practice address
- 459 Philo Road
GST Boces
Elmira, NY 14903 - Phone
- (607) 739-3581
- Fax
- (607) 795-5305
- NPI assigned
- Oct 15, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | R041840 | NY | Primary |
Addresses
Primary practice location
459 Philo Road
GST Boces
Elmira, NY 14903
Mailing address
6312-1 West River Road
Nichols, NY 13812
Phone (607) 259-1933
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 |
|---|---|---|---|
| R041840 | NY | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1679858161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312-1 WEST RIVER ROAD",
"city": "NICHOLS",
"state": "NY",
"postal_code": "13812",
"telephone_number": "607-259-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 PHILO ROAD",
"address_2": "GST BOCES",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14903",
"telephone_number": "607-739-3581",
"fax_number": "607-795-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "GERRI",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "R041840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.