Active NPI
Lisa Wagner-Daegling, M.ED., PLPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1770934705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014037906
- Practice address
- 10176 Corporate Square Dr Ste 100S
Saint Louis, MO 63132-2924 - Phone
- (636) 346-4733
- NPI assigned
- Jun 30, 2016
- 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 | 2014037906 | MO | Primary |
Addresses
Primary practice location
10176 Corporate Square Dr Ste 100S
Saint Louis, MO 63132-2924
Mailing address
10176 Corporate Square Dr Ste 100S
Saint Louis, MO 63132-2924
Phone (636) 346-4733
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014037906 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1770934705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10176 CORPORATE SQUARE DR STE 100S",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631322924",
"telephone_number": "636-346-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10176 CORPORATE SQUARE DR STE 100S",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631322924",
"telephone_number": "636-346-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER-DAEGLING",
"first_name": "LISA",
"credential": "M.ED., PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2014037906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.