Melissa R Wagner, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

25261 Issued in NC

Practice address

310 W Third Ave
Gastonia, NC 28052-4004

Phone

(704) 868-8644

NPI assigned

Feb 3, 2019

Last updated

Feb 8, 2025By the provider in NPPES

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

Locations

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.

• Ledbetter Recovery Services. LLC

  dba Insights in Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gastonia, NC
  • NPI 1295303444
  NPD Authorized official
• Ledbetter Recovery Services. LLC

  dba Insights in Recovery SACOT

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1740171255
  NPD Authorized official

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1932664075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 DONEGAL CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546702",
            "telephone_number": "980-474-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W THIRD AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524004",
            "telephone_number": "704-868-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wal-Mart Stores East LP (Walmart Pharmacy 10-5298)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7062)
• Wal-Mart Stores East, LP (Vision Center 30-5298)
• Wal-Mart Stores East, LP.

• Addiction (Substance Use Disorder) Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.