Lisa Cole Wagner, MACCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3874 Issued in NC

Practice address

8733 Holly Springs Rd
Apex, NC 27539-9194

Phone

(919) 981-6588

Fax

(919) 981-6255

NPI assigned

May 17, 2006

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Aspen Center

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1730212416
  NPD (past)
• The Aspen Center Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1417080607
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1831141605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 BERRY ROSE WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189266",
            "telephone_number": "919-796-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 HOLLY SPRINGS RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399194",
            "telephone_number": "919-981-6588",
            "fax_number": "919-981-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LISA",
        "middle_name": "COLE",
        "name_prefix": "Ms.",
        "credential": "MACCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211627",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD #",
            "identifier": "138GX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Voca Corporation of North Carolina
• Voca Corporation of North Carolina, Inc.
• Collin Vu, RPH, PHD
• W& I Sons LLC (Apex Pharmacy)
• Douglas A. Wadeson, MD
• Tess Kathleen Waibel
• Wake Counseling and Mediation, PLLC (Manpreet Lehal, NCC, LPC)
• Wake County Rehabilitation Hospital LLC (Peak Rehabilitation Hospital)
• Wake Emergency Physicians PA
• Wake Heart and Vascular Associates P.a.

• Speech-Language Pathologist in Apex, NC
• Providers in Apex, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.