GARY WAGONER (NPI# 1144327610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144327610 |
| Entity Type | Individual |
| Full Name | GARY WAGONER |
| Practice Address |
57 Dora Lane Greenup KY 41144 |
| Mailing Address |
P.o. Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 6064737333 |
| Practice Fax Number | 6064737335 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932282878 | Gary L Wagoner | Chiropractor | 1337 S Gilbert Rd Ste 105, Mesa, AZ 85204 | 2006-10-23 |
| 1871739037 | Gary Wagoner | Case Manager/Care Coordinator | 415 Mulberry Street, Evansville, IN 47713-1230 | 2008-12-18 |
| 1225034853 | Gary L Wagoner | Family Medicine | 925 Bishop Walsh Rd, Suite 4, Cumberland, MD 21502 | 2005-06-28 |
| Street Address |
57 DORA LANE |
| City | GREENUP |
| State | KY |
| Zip Code | 41144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922028737 | Misty Lynn Walter | Social Worker | 57 Dora Lane, Greenup, KY 41144 | 2006-07-21 |
| 1356795124 | Keishta Slatery | Counselor | 57 Dora Lane, Greenup, KY 41144 | 2016-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902395528 | Whitney Nacole Rowe | Registered Nurse | Kings Daughters Medical Center Greenup Primary Care, 1629 Ashland Rd, Greenup, KY 41144 | 2018-05-09 |
| 1194984443 | Phil James Nyderek Sr. | Contractor | 103 Ashmoore Drive, Greenup, KY 41144 | 2008-06-03 |
| 1750552592 | Julie Ann Hines | Massage Therapist | 1629 Ashland Road, Suite 4, Greenup, KY 41144 | 2008-03-20 |
| 1053814541 | Sarah Bowling-cameron | Counselor | 57 Dora Ln, Greenup, KY 41144 | 2018-03-12 |
| 1649618778 | Bellefonte Physician Services, Inc. | Nurse Practitioner | 1629 Ashland Rd, Greenup, KY 41144 | 2013-06-11 |
| 1821300328 | Michelle A. Aylsworth | Counselor | 57 Dora Ln, Greenup, KY 41144 | 2010-07-13 |
| 1043350978 | Linda Handy | Counselor | 57 Dora Ln, Greenup, KY 41144 | 2007-02-08 |
| 1215168562 | Carla Elizabeth Maye | Occupational Therapy Assistant | 404 Harrison St, Greenup, KY 41144-1016 | 2009-08-05 |
| 1194161711 | Emmaus Respite and Resource Center, Inc. | Respite Care | 314 Main St, Greenup, KY 41144-1030 | 2013-05-22 |
| 1053449884 | Family Medical Care Inc | Clinic/Center | 501 Main St, Greenup, KY 41144-1033 | 2007-03-01 |
| Find all providers in zip 41144 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912339789 | Kyle Fitzer | Counselor | 59 Dora Lane, Greenup, KY 41144-1187 | 2013-08-05 |
| 1467082636 | Brandi Morris | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2020-01-16 |
| 1033769971 | Molly Bennett | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-09-12 |
| 1619527538 | Rebekka Robbins | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-09-12 |
| 1477108728 | Charles Brandon Thomas | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-08-05 |
| 1437704871 | Megan Connelley | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-08-02 |
| 1457917072 | Lorena Ginn | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-05-20 |
| 1649834961 | Samantha Mitchell | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-04-23 |
| 1457812653 | Tonya Unrue | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-03-29 |
| 1083175210 | Michelle Slone | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-03-29 |
| Find all providers in GREENUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.