Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie R Wagner, LCPC, LPC, RPT-S

Individual provider Mental Health Counselor · NPI 1073557229

Jamie R Wagner, LCPC, LPC, RPT-S is a Mental Health Counselor in Roscoe, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

11447 2nd St Ste 9B
Roscoe, IL 61073-9522
Phone: (815) 601-4673
Fax: (866) 303-8062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180033993 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3206-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 3206-125 (WI)

Record details

NPI number1073557229
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , LPC , RPT-S
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

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