Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144327610 Individual Practitioner Male Practitioner

Gary Wagoner

Counselor • Greenup, KY

Professional Overview & Biography Verified Profile Summary

Gary Wagoner is a registered healthcare professional specializing in Counselor in Greenup, KY. Practice services are available at 57 DORA LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

57 Dora Lane

Greenup, KY 41144

Telephone 6064737333
Fax 6064737335

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Greenup, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Greenup, KY (1732 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30610026 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1053814541
NPI 1053892307
William Pack

Community Health Worker

NPI 1073650891
NPI 1083175210
Brooke Keesee

Peer Specialist

NPI 1104326958
Linette Sommers , LCSW

Social Worker - Clinical

NPI 1104848175

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 57 DORA LANE, GREENUP, KY 41144 (Tel: 6064737333)

📍
Updated Business Mailing Address July 08, 2007

Registered at P.O. BOX 790, ASHLAND, KY 411050790 (Tel: 6063298588)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY WAGONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration September 19, 2006

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: 1144327610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

P.o. Box 790

Ashland, KY 411050790

Phone: 6063298588

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.