| Phyliss Wagner, LPCC | |
|
842 Corporate Way Ste 850, Westlake, OH 44145-1537 | |
| (440) 296-2050 | |
| Not Available |
| Full Name | Phyliss Wagner |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 842 Corporate Way Ste 850, Westlake, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003325416 | NPI | - | NPPES |
| CDCA.164771 | Other | OH | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2001993 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.164771 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagner And Associates Mental Health Services Llc | 4082060710 | 2 |
| Entity Name | Wagner And Associates Mental Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215525712 PECOS PAC ID: 4082060710 Enrollment ID: O20231031003613 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyliss Wagner, LPCC 107 Woodstock Dr, Avon Lake, OH 44012-1622 Ph: (440) 989-4987 | Phyliss Wagner, LPCC 842 Corporate Way Ste 850, Westlake, OH 44145-1537 Ph: (440) 296-2050 |
Bethany Magers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24500 Center Ridge Rd Ste 200, Westlake, OH 44145 Phone: 440-201-4488 Fax: 440-385-7019 | |
Natalie Sullinger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26404 Center Ridge Rd Bldg B, Westlake, OH 44145 Phone: 440-327-1800 Fax: 440-327-1800 | |
Ms. Lydia Ann Gadd, LPCC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 24500 Center Ridge Rd, # 100, Westlake, OH 44145 Phone: 440-899-1300 Fax: 440-899-0266 | |
Kristin Cawley, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23204 Maybelle Dr, Westlake, OH 44145 Phone: 216-780-7652 | |
Jacquelyn Casalina, Counselor Medicare: Medicare Enrolled Practice Location: 24500 Center Ridge Rd Ste 395, Westlake, OH 44145 Phone: 440-455-9125 | |
Mrs. Courtney Perse, LPCC-S Counselor Medicare: May Accept Medicare Assignments Practice Location: 24481 Detroit Rd, Westlake, OH 44145 Phone: 440-310-6361 |