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

Patti Wagner, LPC

Individual provider Mental Health Counselor · NPI 1396255774

Patti Wagner, LPC is a Mental Health Counselor in Waterford, Wisconsin. Qualified in 2012, 14 years ago. Practices with Lakeview Care Partners Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1701 Sharp Rd
Waterford, WI 53185-5214
Phone: (920) 531-2662
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5837-125 (WI)

Record details

NPI number1396255774
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 11, 2017
Last updated in NPPESDecember 31, 2024
Certification dateDecember 27, 2024
Mailing addressE7475 Rawhide Rd, New London, WI 54961-9025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lakeview Care Partners Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount