Active NPI 1982969754 Individual Practitioner Female Practitioner

Kathleen Ann Wagner , MA, LPC

Counselor - Professional • Fayetteville, GA

Professional Overview & Biography Verified Profile Summary

Kathleen Wagner, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Fayetteville, GA. Practice services are available at 145 EMERALD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

145 Emerald Ln

Fayetteville, GA 302144234

Telephone 6788715927

Associated Practice Facility / Clinic

🏢 Kathy Wagner Counseling Services Llc Facility NPI 1629402094

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fayetteville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.8 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

67 Specialists

Practicing in Fayetteville, GA (6655 Statewide)

Telehealth Adoption Rate

4.5% 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

CMS Verified: 2020-05-14

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC006769

Definition to come...

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 14, 2020

Registered at 145 EMERALD LN, FAYETTEVILLE, GA 302144234 (Tel: 6788715927)

📍

Updated Practice Location January 25, 2019

Registered at 111 PETROL PT STE 102, PEACHTREE CITY, GA 302691553 (Tel: 6788715927)

📍

Updated Business Mailing Address January 25, 2019

Registered at 145 EMERALD LN, FAYETTEVILLE, GA 302144234 (Tel: 6788715927)

✅

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2012

Registered at 6000 SHAKERAG HL, SUITE A, PEACHTREE CITY, GA 302696523 (Tel: 7706321088)

📍

Updated Business Mailing Address September 28, 2012

Registered at 175 MANOR DR, FAYETTEVILLE, GA 302152959 (Tel: 6785450246)

👤

Provider Name / Credentials Updated September 28, 2012

Recorded as KATHLEEN WAGNER, MA, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Counselor (License #LPC006769 in GA)

🟢

Initial NPI Registration & Enumeration July 09, 2012

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: 1982969754

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 09, 2012

Last Update: May 14, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

145 Emerald Ln

Fayetteville, GA 302144234

Phone: 6788715927

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.