MRS. PAMELA LOU WAGNER (NPI# 1649443805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649443805 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA LOU WAGNER |
| Credential | LPC |
| Practice Address |
17301 Statesville Rd Cornelius NC 28031-9353 |
| Mailing Address |
20200 Floral Ln Cornelius NC 28031-9745 |
| Practice Telephone | 7048928005 |
| Mailing Telephone | 7048925390 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6531 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730547274 | Pamela Wagner | Dietitian, Registered | 2134 Handel Ave, Henderson, NV 89052-5723 | 2016-01-28 |
| 1992881064 | Pamela Coy Wagner | Nurse Practitioner | 899 Fm 632, Kenedy, TX 78119-4516 | 2006-10-31 |
| 1932179892 | Pamela Wagner | Physician Assistant | 2900 Chanticleer Ave., Santa Cruz, CA 95065-1816 | 2006-01-24 |
| 1740433309 | Pamela Wagner | Specialist | 2577 Sheridan Dr, Tonawanda, NY 14150-9411 | 2008-10-28 |
| 1861681637 | Pamela Wagner | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2007-10-17 |
| 1124233184 | Pamela H.s. Wagner | Ophthalmology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-05-13 |
| 1104880418 | Pamela E. Wagner | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-04-13 |
| Street Address |
17301 STATESVILLE RD |
| City | CORNELIUS |
| State | NC |
| Zip Code | 28031-9353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428638 | Monica Leeann Mouer | Counselor | 17301 Statesville Rd, Cornelius, NC 28031-9353 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827221 | Jessica Leigh Akbari | Behavior Technician | 16915 Liverpool Pkwy. Suite B, Cornelius, NC 28031 | 2020-10-02 |
| 1548871569 | Aalasa Brooks | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1366053381 | Mary-clara Pearl Mcalister | Behavior Technician | 16915 Liverpool Parkway, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1851926075 | Cherie Torrence | Acupuncturist | 16930 W. Catawba Ave 203, Cornelius, NC 28031 | 2020-03-09 |
| 1154970481 | 100 Percent Chiropractic Padilla, LLC | Chiropractor | 19722 One Norman Drive, Suite 210, Cornelius, NC 28031 | 2019-09-09 |
| 1528628526 | O'brien and West, Dmd Viii, Pllc | Dentist | 19911 Zion Ave Bldg D, Ste. #d4, Cornelius, NC 28031 | 2019-06-20 |
| 1548775182 | Gretchen Anthony | Social Worker | 17105 Kenton Drive, Suite 201c, Cornelius, NC 28031 | 2017-12-05 |
| 1669842076 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21720 Catawba Ave, Cornelius, NC 28031 | 2015-09-28 |
| 1518336296 | Special Touch Living | Clinic/Center | 11262 Heritage Green Drive, Cornelius, NC 28031 | 2015-09-23 |
| 1568830917 | Michelle Rene Skaggs | Occupational Therapist | 9075 Rosalyn Glen Rd, Cornelius, NC 28031 | 2015-09-02 |
| Find all providers in zip 28031 | ||||
| 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 |
|---|---|---|---|---|
| 1649716374 | Julie Suddeth | Counselor | 20020 Beard St, Cornelius, NC 28031-6040 | 2017-01-19 |
| 1356633044 | Sherri Melinda Chavis | Counselor | 18525 Statesville Rd, Suite C-01, Cornelius, NC 28031-5706 | 2011-05-12 |
| 1659510436 | United Family Services | Counselor | 9624 Bailey Road, Suite 290, Cornelius, NC 28031-6120 | 2009-02-18 |
| 1245888197 | Callie Gross | Counselor | 18805 W Catawba Ave, Cornelius, NC 28031-4608 | 2019-09-03 |
| 1114388097 | Anna Bulfin | Counselor | 18809 W Catawba Ave, Suite 202, Cornelius, NC 28031-5547 | 2016-03-18 |
| 1407290729 | Roy Kelley Sinclair | Counselor | 18515 Statesville Rd, Suite C-01, Cornelius, NC 28031-5702 | 2013-04-18 |
| 1013261882 | Jordan Nicole Carroll | Counselor | 21300 Catawba Ave, Cornelius, NC 28031-8505 | 2012-11-01 |
| 1528331741 | Andrea Lee Valde | Counselor | 117 N 29th Ave, Cornelius, OR 97113-8517 | 2012-02-18 |
| 1841574340 | Gabriel Debenedictis | Counselor | 117 N 29th Ave, Cornelius, OR 97113-8517 | 2011-10-03 |
| 1447531637 | Andrew Link Simpson | Counselor | 18515 Statesville Rd, Suite C-01, Cornelius, NC 28031-5702 | 2011-09-01 |
| Find all providers in CORNELIUS | ||||
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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.