Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538542246 Individual Practitioner Female Practitioner

Lori Ann Wagner , LPCC

Counselor - Professional • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Lori Wagner, LPCC is a registered healthcare professional specializing in Counselor - Professional in Maple Grove, MN. Practice services are available at 11334 86TH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11334 86th Ave N

Maple Grove, MN 553694528

Telephone 7632552125
Fax 7632552126
Associated Practice Facility / Clinic
🏢 Calli Counseling, Pllc Facility NPI 1407162183

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.7 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
33 Specialists

Practicing in Maple Grove, MN (2422 Statewide)

Telehealth Adoption Rate
6.1% 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: 2026-07-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC01011

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MN CC01011

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1538542246 (MN)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Karen Held , PsyD, LP

Psychologist - Clinical

NPI 1205420072

Doctor of Psychology (Psy.D.), Licensed Psychologist

Charlotte Szabo

Nurse Practitioner - Psychiatric/Mental Health

NPI 1346529922
Dr. Karl Olson , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1346611266

Doctor of Nursing Practice

Timothy Francisco , MA, LPCC

Counselor - Mental Health

NPI 1467717850

Master of Arts, Licensed Professional Clinical Counselor

Kirby Nelson , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1558747782

Advanced Registered Nurse Practitioner

Nicole Grages , MA, LMFT

Marriage & Family Therapist

NPI 1609180496

Master of Arts, Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 29, 2026

Registered at 11334 86TH AVE N, MAPLE GROVE, MN 553694528 (Tel: 7632552125)

📍
Updated Business Mailing Address July 29, 2026

Registered at 615 1ST AVE NE STE 310, MINNEAPOLIS, MN 554132419 (Tel: 6124360295)

NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2017

Registered at 1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 551201289 (Tel: 6513799800)

📍
Updated Business Mailing Address December 04, 2017

Registered at 1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 551201289 (Tel: 6513799800)

👤
Provider Name / Credentials Updated December 04, 2017

Recorded as LORI WAGNER, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Counselor (License #CC01011 in MN)

NPI Profile Active July 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2015

Registered at 1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 551201289 (Tel: 6513799800)

📍
Updated Business Mailing Address July 13, 2015

Registered at 1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 551201289 (Tel: 6513799800)

👤
Provider Name / Credentials Updated July 13, 2015

Recorded as LORI WAGNER, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2015

Counselor (License #CC01011 in MN)

🟢
Initial NPI Registration & Enumeration June 30, 2015

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: 1538542246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2015
Last Update: July 29, 2026
Sole Proprietor: No

Mailing Address

615 1st Ave Ne Ste 310

Minneapolis, MN 554132419

Phone: 6124360295

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.