CAROLYN WAGNER (NPI# 1467986141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467986141 |
| Entity Type | Individual |
| Full Name | CAROLYN WAGNER |
| Credential | MA, LPC |
| Practice Address |
1159 Wilmette Ave Suite 225 Wilmette IL 60091-2649 |
| Mailing Address |
116 Elmore St Park Ridge IL 60068-3520 |
| Practice Telephone | 8477288148 |
| Mailing Telephone | 8477288148 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.013022 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178.008548 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092529 | Carolyn A. Wagner | Registered Nurse | 300 Westminster Canterbury Dr, Winchester, VA 22603-4216 | 2005-06-09 |
| 1508210931 | Carolyn Blair Wagner | Pediatrics | 1065 Southern Blvd, Department of Pediatrics, Bronx, NY 10459-2417 | 2016-04-22 |
| 1801142302 | Carolyn Wagner | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 3.020b, Houston, TX 77030-1501 | 2012-08-02 |
| 1679705941 | Carolyn M Wagner | Physician Assistant | 1425 Portland Ave, Rochester, NY 14621-3001 | 2009-08-19 |
| 1306002506 | Carolyn Wagner | Physical Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2008-08-06 |
| 1366419087 | Carolyn Wagner | Nurse Practitioner | 1770 E Lake Shore Dr, Suite 207, Decatur, IL 62521-3832 | 2006-03-01 |
| Street Address |
1159 WILMETTE AVE SUITE 225 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538126529 | Fangxi Zhou | Acupuncturist | 1159 Wilmette Ave, Suite 225, Wilmette, IL 60091-2649 | 2006-04-26 |
| 1063030856 | Hannah Elizabeth Groh | Dentist | 1159 Wilmette Ave, Wilmette, IL 60091-2649 | 2020-07-08 |
| 1205286440 | Koziol Therapy and Coaching, LLC | Social Worker | 1159 Wilmette Ave, Suite 9, Wilmette, IL 60091-2649 | 2016-06-19 |
| 1316224678 | Michael G Clark Dc Sc | Chiropractor | 1159 Wilmette Ave, Suite 228, Wilmette, IL 60091-2649 | 2011-11-14 |
| 1841511235 | Laura Linebarger Walsh | Psychologist | 1159 Wilmette Ave, Suite 225, Wilmette, IL 60091 | 2010-06-20 |
| 1316100688 | Craig S Kohler Dds Mba Magd Ltd | Dentist | 1159 Wilmette Ave, Suite 200, Wilmette, IL 60091-2649 | 2008-07-08 |
| 1134261670 | Michael G Clark | Chiropractor | 1159 Wilmette Ave, Suite 228, Wilmette, IL 60091-2649 | 2007-02-13 |
| 1346268638 | Robert Schor | Counselor | 1159 Wilmette Ave, Wilmette, IL 60091-2649 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1346715265 | Northshore Postpartum and Family Counseling | Counselor | 3330 Old Glenview Rd Ste 3, Wilmette, IL 60091-2963 | 2018-10-07 |
| 1750871919 | Draw Together, Inc. | Counselor | 1213 Wilmette Ave Ste 200, Wilmette, IL 60091-2566 | 2018-05-14 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1942675095 | Laurie Kathleen Stogin | Counselor | 1105 Locust Rd, Wilmette, IL 60091-1240 | 2015-12-01 |
| 1922406685 | Laura Doyle | Counselor | 1803 Walnut Ave, Wilmette, IL 60091-1540 | 2014-12-12 |
| 1669713772 | Sue Blomberg, Lcpc, LLC | Counselor | 1040 Chestnut Ave, Wilmette, IL 60091-1732 | 2013-03-14 |
| 1073862348 | Elena Frishman | Counselor | 1635 Wilmette Ave, Wilmette, IL 60091-2453 | 2012-09-02 |
| 1972893618 | Lisa Goldman | Counselor | 400 Linden Ave Ste 3, Wilmette, IL 60091-3607 | 2011-04-14 |
| 1417109893 | Karee B Rubinstein Wallach | Counselor | 1630 Elmwood Ave, Wilmette, IL 60091-1554 | 2008-10-16 |
| Find all providers in WILMETTE | ||||
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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.