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

Nicole Wagoner, LCMHC

Individual provider Mental Health Counselor · NPI 1477015881

Nicole Wagoner, LCMHC is a Mental Health Counselor in New Bern, North Carolina. Practices as a sole proprietor and works from 4 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2409 Grace Ave
New Bern, NC 28562-4445
Phone: (910) 759-5959
Fax: (910) 516-5036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 205 Us Highway 117 S Unit 1, Burgaw, NC 28425-6704 — (910) 759-5959
  • 509c Broad St, New Bern, NC 28560-4803 — (910) 759-5959
  • 233 Middle St Ste 105, New Bern, NC 28560-2101 — (910) 759-5959

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 14357 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A14357 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 14357 (NC)

Record details

NPI number1477015881
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedApril 3, 2019
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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