DARRIN WAGNON (NPI# 1912012204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912012204 |
| Entity Type | Individual |
| Full Name | DARRIN WAGNON |
| Credential | LPC |
| Practice Address |
363 Horseshoe Farm Rd Pembroke VA 24136-3471 |
| Practice Telephone | 5406267520 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0701003867 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010281547 | 05 |
| Street Address |
363 HORSESHOE FARM RD |
| City | PEMBROKE |
| State | VA |
| Zip Code | 24136-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114005303 | Family Preservation Services, Inc | Community/Behavioral Health | 6899 Virginia, Pembroke, VA 24136 | 2006-11-02 |
| 1619056124 | David Lee Morgan | Pain Medicine | 103 Progress St., Pembroke, VA 24136-0487 | 2006-11-03 |
| 1295092716 | Pamela B. Olson | Nurse Practitioner | 133 Bostic Ln, Pembroke, VA 24136-3678 | 2012-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295392 | Chapelle Bell | In Home Supportive Care | 232 Dewey St, Pembroke, KY 42266 | 2020-11-03 |
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1033719364 | Larry Quemere | Counselor | 18 Columbia Rd, Pembroke, MA 02359-1895 | 2020-10-27 |
| 1275132433 | Jolene Carol Schmucker | Nurse Practitioner | 775 Pembroke Fairview Rd, Pembroke, KY 42266-9413 | 2020-10-20 |
| 1306444872 | Melissa Bourgoin | Speech-Language Pathologist | 715 Riverwood Dr, Pembroke, NH 03275-3701 | 2020-10-15 |
| 1194332759 | Pembroke Medical Associates Inc | Internal Medicine | 15 Old West Elm St, Pembroke, MA 02359-1731 | 2020-09-28 |
| 1578174215 | Courtney Bailey | Nurse Practitioner | 199 Plymouth St, Pembroke, MA 02359-3521 | 2020-08-16 |
| 1528684495 | Tamra Lowry | Speech-Language Pathologist | 2600 St Anna Rd, Pembroke, NC 28372-8420 | 2020-06-17 |
| 1720603723 | Guiding Light Counseling LLC | Counselor | 31 Schoosett St Ste 106, Pembroke, MA 02359-1886 | 2020-06-15 |
| Find all providers in PEMBROKE | ||||
| 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 |
|---|---|---|---|---|
| 1447778832 | Ryan Christopher Trabucco | Counselor | 161 Elm St, Pembroke, MA 02359-2015 | 2017-09-06 |
| 1992143374 | Kathryn Mary Jochems | Counselor | 46 Jessica Cir, Pembroke, MA 02359-3751 | 2013-06-07 |
| 1982977195 | Kerry Ann Lang | Counselor | 64 Mayflower Rd, Pembroke, MA 02359-1932 | 2012-02-18 |
| 1477837284 | Quality Care Home Health Inc | Counselor | 3143 Union Chapel Rd, A, Pembroke, NC 28372-7932 | 2011-09-29 |
| 1093049199 | William Richard Mathis | Counselor | 171 Comtech Dr, Pembroke, NC 28372-7270 | 2009-09-23 |
| 1356846505 | Life Support Services, LLC | Counselor | 202 Main Street, Pembroke, NC 28372 | 2018-03-29 |
| 1134594807 | Tracy Lynn Locklear | Counselor | 305 E 3rd St, Pembroke, NC 28372-7991 | 2015-12-07 |
| 1518301829 | Laura Lydiard | Counselor | 2 Columbia Rd, Suite 11, Pembroke, MA 02359-1842 | 2013-04-18 |
| 1427238906 | Vicki Nelson Belcher | Counselor | 23439 Ga Highway 46, Pembroke, GA 31321-8515 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790229 | Candice Cornelio | Counselor | 1904 Tolbert Ter Apt 202, Chester, VA 23836-2824 | 2020-11-03 |
| 1306443619 | Helianthus Therapy Services, LLC | Counselor | 767 Madison Rd Ste 112-114, Culpeper, VA 22701-3379 | 2020-10-08 |
| 1477160471 | Sarah Chun | Counselor | 950 N Washington St # 322, Alexandria, VA 22314-1534 | 2020-09-24 |
| 1659983484 | A. Lawrence Christian Counseling LLC | Counselor | 8213 Sudley Rd Ste 202, Manassas, VA 20109-3507 | 2020-08-22 |
| 1578173993 | Marjorie Denise Handy | Counselor | 108 Joyce Rd, Bassett, VA 24055-6102 | 2020-08-01 |
| 1073122719 | David Wooden | Counselor | 4201 Wilson Blvd # 300, Arlington, VA 22203-4417 | 2020-07-29 |
| 1376152678 | Gwendolyn Maurice | Counselor | 739 Cherry Hill Rd, Heathsville, VA 22473-2648 | 2020-07-23 |
| 1922624154 | Cedric Wilson | Counselor | 2616 Stonegate Dr, Winchester, VA 22601-3482 | 2020-06-23 |
| 1154946291 | Chloe Fulcher Morrissett | Counselor | 8389 Reagan Dr, King George, VA 22485-7149 | 2020-06-15 |
| 1184248130 | Thomas Lafayette Bateman IIi | Counselor | 11025 Greenline Ct, Mechanicsville, VA 23116-5855 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
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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.