Sarah J Wagner, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007100 Issued in PA

Practice address

371 North Main Street
Second Floor
Butler, PA 16001

Phone

(724) 991-1289

Fax

(724) 241-3568

NPI assigned

Sep 26, 2013

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

Other names 1

• Sarah J Grimes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Balanced Mind

  • Professional Counselor
  • Butler, PA
  • NPI 1073018495
  NPD Authorized official

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1922435668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S MCKEAN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160016029",
            "telephone_number": "724-991-1289",
            "fax_number": "724-498-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NORTH MAIN STREET",
            "address_2": "SECOND FLOOR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-991-1289",
            "fax_number": "724-241-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GRIMES",
            "middle_name": "J",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Tia Marie Vollmer, DPT
• Marsha Wagner, LPC
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• Michael J Wahl, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Professional Counselor in Butler, PA
• Providers in Butler, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.