Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891826822 Individual Practitioner Male Practitioner

Mark Wagemaker , LPC

Counselor - Professional • Carrollton, GA

Professional Overview & Biography Verified Profile Summary

Mark Wagemaker, LPC is a registered healthcare professional specializing in Counselor - Professional in Carrollton, GA. Practice services are available at 402B ADAMSON SQ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

402b Adamson Sq
Suite 11

Carrollton, GA 301173214

Telephone 4045806684

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
68 Specialists

Practicing in Carrollton, GA (6655 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC5042

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2009

Registered at 402B ADAMSON SQ, SUITE 11, CARROLLTON, GA 301173214 (Tel: 4045806684)

📍
Updated Business Mailing Address August 05, 2009

Registered at PO BOX 1196, CARROLLTON, GA 301120022 (Tel: 4045806684)

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Provider Name / Credentials Updated August 05, 2009

Recorded as MARK WAGEMAKER, LPC 5042

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2009

Counselor (License #LPC5042 in GA)

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Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891826822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: August 05, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 1196

Carrollton, GA 301120022

Phone: 4045806684

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.