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

Mr. Randall L Wagner, LPC

Individual provider Professional Counselor · NPI 1063558211

Mr. Randall L Wagner, LPC is a Mental Health Counselor in Madison, Wisconsin. Qualified in 1997, 29 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2007
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1821 S Stoughton Rd
Madison, WI 53716-2257
Phone: (608) 260-6000
Fax: (608) 260-6376
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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 3203-125 (WI)

Record details

NPI number1063558211
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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