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

Lori Ann Wagner, LPCC

Individual provider Mental Health Counselor · NPI 1538542246

Lori Ann Wagner, LPCC is a Mental Health Counselor in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

11334 86th Ave N
Maple Grove, MN 55369-4528
Phone: (763) 255-2125
Fax: (763) 255-2126
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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 CC01011 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence CC01011 (MN)

Record details

NPI number1538542246
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419

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