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

Mr. Edward T Wagner III, LPC

Individual provider Mental Health Counselor · NPI 1790310860

Mr. Edward T Wagner III, LPC is a Mental Health Counselor in Gilbertsville, Pennsylvania. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1831 Swamp Pike Ste 100
Gilbertsville, PA 19525-8927
Phone: (610) 484-0736
Show map & directions

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

Additional practice locations (1)

  • 330 Main St Ste B, Royersford, PA 19468-2313 — (610) 948-0393

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC012234 (PA)

Record details

NPI number1790310860
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 9, 2020
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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