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Active NPI 1477608107 Individual Practitioner Male Practitioner

Robert Bruce Wagner , LPC

Counselor - Professional • Niles, MI

Professional Overview & Biography Verified Profile Summary

Robert Wagner, LPC is a registered healthcare professional specializing in Counselor - Professional in Niles, MI. Practice services are available at 333 N 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

333 N 2nd St
Suite 305

Niles, MI 491202258

Telephone 2694498951
Associated Practice Facility / Clinic
🏢 Thomson's Physical Therapy Facility NPI 1043470891

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Niles, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Niles, MI (5077 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401000453

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Charles Smith , PhD

Psychologist - Clinical

NPI 1790838811

Doctor of Philosophy (Ph.D.)

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 333 N 2ND ST, SUITE 305, NILES, MI 491202258 (Tel: 2694498951)

📍
Updated Business Mailing Address July 08, 2007

Registered at 333 N 2ND ST, SUITE 305, NILES, MI 491202258 (Tel: 2694498951)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT WAGNER, L.P.C.

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

Counselor (License #6401000453 in MI)

🟢
Initial NPI Registration & Enumeration January 24, 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: 1477608107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

333 N 2nd St, Suite 305

Niles, MI 491202258

Phone: 2694498951

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.