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

Jennifer Wagner, LPC, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508392135

Jennifer Wagner, LPC, LCDC is a Mental Health Counselor in Atlanta, Texas. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

702 Holly St
Atlanta, TX 75551-2308
Phone: (903) 278-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 78248 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 13846 (TX)

Record details

NPI number1508392135
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LCDC
Sole proprietorYes
NPI enumeratedMay 2, 2017
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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