Susan Francis Wagner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5206 Issued in SC

Practice address

7511 Saint Andrews Rd
Suite 3
Irmo, SC 29063-2894

Phone

(803) 240-5448

Fax

(803) 407-3919

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Susan Wagner LLC

  • Community/Behavioral Health Agency
  • Irmo, SC
  • NPI 1750133641
  NPD Authorized official

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1881996668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GLEN RIDGE CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638494",
            "telephone_number": "803-240-5448",
            "fax_number": "803-407-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 SAINT ANDREWS RD",
            "address_2": "SUITE 3",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632894",
            "telephone_number": "803-240-5448",
            "fax_number": "803-407-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SUSAN",
        "middle_name": "FRANCIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Health by Robin, LLC
• Krystal Vermillion, MOT, OTR/L
• Ann Theresa Vidal
• Pamella Wadford, BA, LMBT
• Emily Wagner
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Professional Counselor in Irmo, SC
• Providers in Irmo, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.